ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address): FOR COURT USE ONLY TELEPHONE NO.: E-MAIL ADDRESS (Optional): ATTORNEY FOR (Name): FAX NO. (Optional): SUPERIOR COURT OF CALIFORNIA, COUNTY OF IMPERIAL 220 Main Street, Brawley, CA 92227 939 West Main Street, El Centro, CA 92243 1625 West Main Street, El Centro, CA 92243 2124 Winterhaven Drive, Winterhaven, CA 92283 PLAINTIFF: DEFENDANT(S) CASE NUMBER: NOTICE OF APPEAL; NOTICE OF FILING OF APPEAL SMALL CLAIMS (Code of Civil Procedure § 116.710) To: Plaintiff (Name and address): To: Defendant (Name and address): To: Plaintiff (Name and address): To: Defendant (Name and address): NOTICE OF APPEAL I appeal to the superior court, as provided by law from to vacate the small claims judgment. Date Appeal Filed (clerk to insert date): the small claims judgment, or the denial of the motion ___________________________________ (TYPE OR PRINT NAME OF APPELLANT) ________________________________________ (SIGNATURE OF APPELLANT OR APPELLANT'S ATTORNEY) I am an insurer of defendant (name) ________________________________ in this case. The judgment against defendant exceeds $2,500, and the policy of insurance with the defendant covers the matter to which the judgment applies. ________________________________ (NAME OF INSURER) __________________________________________ (SIGNATURE OF DECLARANT) NOTICE OF FILING OF APPEAL Your small claims case has been APPEALED to the superior court. Do not contact the small claims court about this appeal. The superior court will notify you of the date you should appear in court. The notice of appeal is set forth below. La decisión hecha por la corte para reclamos judciales menores en su caso ha sido APELADA ante la corte superior. No se ponga en contacto con la corte para reclamos judiciales menores acerca de esta apelación. La corte superior le notificar las fecha en que usted debe presentarse ante ella. El aviso de la apelación aparece a continuación. Date: _________________ Tammy L. Grimm, Clerk by ________________________________, Deputy Clerk CLERK'S CERTIFICATE OF MAILING I certify that I am not a party to this action. This Notice of Appeal and Notice of Filing of Notice of Appeal were plaintiff defendant at the address(es) stated above. mailed first class, postage prepaid, in a sealed envelope to The mailing and this certification occurred at (place) _______________, California on (Date): ________. Date: _________________________ Tammy L. Grimm, Clerk of the Court by ________________________________, Deputy Clerk Form Approved for Optional Use SC-02 (Adopted 01/01/11, Revised 01/01/12, 01/01/15) imperial.courts.ca.gov NOTICE OF APPEAL; NOTICE OF FILING OF APPEAL American LegalNet, Inc. www.FormsWorkFlow.com