ATTORNEY OR PARTY WITHOUT ATTORNEY (Name & Address): FOR COURT USE ONLY Telephone No.: E-Mail Address (Optional): ATTORNEY FOR (Name): Fax No. (Optional): Bar No: SUPERIOR COURT OF CALIFORNIA, COUNTY OF ORANGE JUSTICE CENTER: Central - 700 Civic Center Dr. West, Santa Ana, CA 92701-4045 Harbor-Laguna Hills Facility - 23141 Moulton Pkwy., Laguna Hills, CA 92653-1251 Harbor-Newport Beach Facility - 4601 Jamboree Rd., Newport Beach, CA 92660-2595 North - 1275 N. Berkeley Ave., P. O. Box 5000, Fullerton, CA 92838-0500 West - 8141 13 thStreet, Westminster, CA 92683-4593 PLAINTIFF: DEFENDANT: NOTICE OF APPEAL LIMITED CIVIL CASE NUMBER: TO (name and address of attorney or party in pro per): Plaintiff Judgment Defendant (name): Order (specify): in this case appeals to the Appellate Division of the Superior Court of California, County of Orange, from the: entered on (date): in favor of (name): Date: (TYPE OR PRINT NAME) (SIGNATURE OF PARTY OR ATTORNEY) Approved for Optional Use L241 (Rev January 1, 2007) NOTICE OF APPEAL California Rules of Court, rule 8.750 American LegalNet, Inc. www.FormsWorkflow.com