FORM4 NOTICE OF INTENT TO APPLY FOR CERTIORARI IN SUPREME COURT OF GEORGIA COURT OF APPEALS OF GEORGIA * APPELLANT Vs. APPELLEE NOTICE OF INTENT Comes now _______ (Appellant/Appellee) in the above appeal and files this Notice of Intent to apply for certiorari to the Supreme Court of Georgia. This the ___ day of _________ _________________ (Sign your name.) * * CASE NUMBER (Your complete address.) CERTIFICATE OF SERVICE I certify that I have this day served __________ (opposing party or attorney) with a copy of this Notice of Intent by mailing a copy first class mail postage prepaid to him/her at: (Complete address of party served). This the ___day of __________ _________________ (Sign your name.) 31 American LegalNet, Inc. www.FormsWorkFlow.com