Attorney or Party without attorney (Name and Address) Telephone No.: Attorney for: NAME OF COURT: SUPERIOR COURT OF CALIFORNIA Mailing Address Street Address 1500 Court Street, Room 319 Redding, CA 96001 Branch Name: Redding PLAINTIFF: DEFENDANT: NOTICE OF APPEAL Civil Limited Case Number: I, __________________________________________________________________________ appellant (Name of person filing the appeal) in the above-entitled action hereby appeals to the Appellate Division of the Superior Court of California, County of Shasta, from the _____________________________________________________________ (Judgment or Order appealed from) Entered in the above-named court on _____________________________________________________ (enter date) in favor of __________________________________________________________________________ (Name of other party)(respondent) Dated: __________________________________________ (Type or print name) _________________________________________ (Signature of Appellant) NOTE: If you were the plaintiff in the original action, you remain the plaintiff in the appeal action. If you were the defendant in the original action, you remain the defendant in the appeal action. ______________________________________________________________________________________ Form Approved for Optional Use Shasta County Superior Court LF-APL-100 [rev July 1, 2012] NOTICE OF APPEAL [CIVIL LIMITED] CRC Rule 8.750 Page 1 of 1 American LegalNet, Inc. www.FormsWorkFlow.com