Rev. 5/2019 IN THE UNITED STATES DISTRICT COURT FOR THE DISTRICT OF COLORADO Civil Action No. UNITED STATES OF AMERICA, , Plaintiff, v. , Defendant. NOTICE OF APPEAL Notice is hereby given that , (name the plaintiff or defendant) in the above named case, hereby appeals to the United States Court of Appeals for the Tenth Circuit from the , (describe the order and/or judgment) entered in this action on the day of , . Dated Signature Printed Name Address City State Zip Telephone Number American LegalNet, Inc. www.FormsWorkFlow.com