SUPERIOR COURT, COUNTY OF RIVERSIDE, STATE OF CALIFORNIA JUVENILE COURT INDIO 46-200 Oasis St., Indio, CA 92201 RIVERSIDE 9991 County Farm Road, Riverside, CA 92503 ATTORNEY OR UNREPRESENTED PARTY (Name and Address) TELEPHONE NO.: FOR COURT USE ONLY BAR NO.: ATTORNEY FOR: In re: a minor CASE NUMBER: NOTICE OF APPEAL (Following Trial) The appeals from the judgment of this court entered (Date of Jurisdictional finding) Date: Signature of Trial Counsel MOTION FOR APPOINTMENT OF COUNSEL ON APPEAL I request the Court of Appeal, Fourth Appellate District, to appoint an attorney to represent me in this appeal. I have no means of hiring an attorney to represent me, and have no income or assets, except as follows: I declare under penalty of perjury the statement above is true. Executed on , at Signature: My trial attorney was: Juv007 (11/95) Defendant An attorney paid by myself Other 2002 © American LegalNet, Inc. RI-JV007