ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, state bar number, and address) TELEPHONE NO: ATTORNEY FOR (NAME): FOR COURT USE ONLY FAX NO: SUPERIOR COURT OF CALIFORNIA COUNTY OF YUBA 215 FIFTH STREET, SUITE 200 MARYSVILLE, CA 95901-5737 (530) 749-7600 PLAINTIFF: vs. DEFENDANT: CASE NUMBER: NOTICE OF APPEAL (Limited Jurisdiction Cases) The undersigned hereby appeals to the Appellate Department of Yuba County Superior Court from the judgment of this Court dated _______________ in the above-entitled action. 1. I am appealing (check all applicable boxes): A. B. An order of the Court (specify): ____________________________________________________________________. C. 2. The entire judgment. A part of the judgment or order (specify): ____________________________________________________________________. Record on appeal (check one): A. Immediate transfer to the Appellate Department requested: I request the clerk to prepare the record pursuant to Rule 8.783 and transmit the clerk’s transcript on appeal to the Appellate Department within 15 days. B. Delayed transfer to Appellate Department requested: • • • • I wish to settle the statement on appeal. I acknowledge that it will be necessary to prepare a document that specifies all the grounds on which I am appealing, pursuant to California Rules of Court, Rule 8.784(b). I acknowledge that it will be necessary to prepare another document consisting of a proposed statement on appeal, pursuant to California Rules of Court, Rule 8.784(d). I acknowledge it will be necessary to have one or more hearings to settle the statement on appeal before the matter is transmitted to the Appellate Department. If you checked B above, initial this box [ C. ]. I intend to file the reporter’s transcript and have same served as part of the statement. Dated:____________ ______________________________ Signature of Appellant Form Adopted by Yuba County Superior Court Effective 7/01/03; Rev. 1/12/07 NOTICE OF APPEAL AP03002 (Limited Jurisdiction Cases) American LegalNet, Inc. www.FormsWorkflow.com