SUPERIOR COURT OF THE DISTRICT OF COLUMBIA PROBATE DIVISION _____________________________________ Plaintiff vs. _____________________________________ _____________________________________ _____________________________________ Defendant(s) _____ LIT _____ (linked to __________) (Estate of: __________________) NOTICE OF APPEAL A. Notice is given that ____________________ is appealing an order/judgment from the Probate Division. 1. Date of entry of judgment/order appealed from (if more than one judgment/order appealed, list all): ______________________________________________________________________________ 2. Filing date of any post-judgment motion: ______________________________________________ 3. Date of entry of post-judgment order: ________________________________________________ 4. Superior Court Judge: _____________________________________________________________ 5. Is the order final (i.e. disposes of all claims and has been entered by a Superior Court Judge, not a Magistrate Judge)? [ ] YES [ ] NO If no, state the basis for jurisdiction: _____________________________________________ 6. Has there been any other notice of appeal filed in this case? [ ] YES [ ] NO If yes, list the other appeal numbers: _____________________________________________ 7. If this case was consolidated with another case in this court, list the parties' names and the Superior Court case number: __________________________________________________________ _________________________________________________________________________________ B. C. Type of case: [ ] LIT [ ] Paid [ ] In Forma Pauperis [ ] YES [ ] NO Indicate status of case: Was counsel appointed in the Probate court? Jan. 2010 American LegalNet, Inc. www.FormsWorkFlow.com D. Provide the names, addresses and telephone numbers of all parties to be served. For persons represented by counsel, identify counsel and the party whom the counsel represents. For each person, state whether the person was a plaintiff or defendant in the Superior Court (use additional sheets of paper if necessary): PARTY STATUS NAME ADDRESS TELEPHONE # (Plaintiff, Defendant) E. Identify the portions of the transcript needed for appeal, including the date of the proceeding, the name of the Court Reporter (or state that the matter was recorded on tape if no Court Reporter was present), the courtroom where the proceeding was held, and the date the transcript was ordered or a motion was filed for preparation of the transcript. Attach additional pages if needed. Date of Proceeding/Portion Reporter/Courtroom Date transcript ordered Check here if no transcript is needed for this appeal. [ ] F. Person filing appeal: [ ] Third Party/Intervener [ ] Plaintiff Pro Se [ ] Counsel for Plaintiff [ ] Defendant Pro Se [ ] Counsel for Defendant ATTACH A COPY OF THE ORDER, JUDGMENT OR DOCKET ENTRY FROM WHICH THIS APPEAL IS TAKEN. _____________________________________ Signature of Attorney _____________________________________ Signature _____________________________________ Typed Name of Attorney _____________________________________ Typed Name _____________________________________ Address (Actual address/not Post Office Box) _____________________________________ Address (Actual address/not Post Office Box) _____________________________________ _____________________________________ Telephone number _____________________________________ _____________________________________ Telephone number _____________________________________ Unified Bar number _____________________________________ E-mail address (optional) *Appellant is responsible for ordering transcript(s) from the Court Reporting and Central Recording Division, Room 5500. If appellant has been granted In Forma Pauperis status and a transcript is needed for this appeal, appellant must file a Motion for Transcript in the Appeals Coordinator's Office, Room 3148. That office number is (202) 879-1731. If that motion is granted, the transcript will be prepared at no cost to appellant. Jan. 2010 American LegalNet, Inc. www.FormsWorkFlow.com