Print Form Notice of Appeal Clear Form (Rev. 11/07/03) CCCR 0603 TO THE ___________________________ COURT OF ILLINOIS IN THE CIRCUIT COURT OF COOK COUNTY CRIMINAL BUREAU PEOPLE OF THE STATE OF ILLINOIS v. _________________________________________ } _____________________________________ Trial Judge __________________________________ Court Reporter _______________________________ Attorney ____________________________________ Appeal Check Date ____________________________ Appeal Bond _________________________________ Case No. NOTICE OF APPEAL An appeal is taken from the order or judgment described below: Appellant's Name: ________________________________________________________________________________ Appellant's Address: ______________________________________________________________________________ Appellant's Attorney: ______________________________________________________________________________ Address: ________________________________________________________________________________________ Offense: ________________________________________________________________________________________ Judgment: Guilty of ______________________________________________________________________________ ___________________________________ on a ________________________________________________________ Date: ___________________________________________________________________________________________ Sentence: ________________________________________________________________________________________ Date Notice Filed: ________________________________________________________________________________ ____________________________________________ Appellant VERIFIED PETITION FOR REPORT OF PROCEEDINGS AND COMMON LAW RECORD Under Supreme Court Rules 605-608 Appellant requests the Court to order; (1) the Official Court Reporter to transcribe an original and the copy of the proceedings, file the original with the Clerk and deliver the copy to the Appellant, or upon Appellant's written request to the Appellant's attorney of record, and (2) the Clerk to prepare the Record on Appeal. The Appellant, being duly sworn, states that at the time of his/her conviction, s/he was and s/he now is unable to pay for the Record or an appellate lawyer. ____________________________________________ Appellant SUBSCRIBED and SWORN TO before me this ___________ day of ___________________________, _________ ___________________________________________ Notary Public ORDER IT IS ORDERED; 1. _____________________________________________________________________________ appointed as counsel on appeal, and 2. the Record and Report of Proceedings be furnished to appellant without fees. _____________________, ________ _____________________, ________ _____________________, ________ _____________________, ________ _____________________, ________ _____________________, ________ DATE: _______________________, ________ ________________________, ________ ________________________, ________ ________________________, ________ ENTER: ______________________________________________ Judge Judge's No. I acknowledge receipt: ______________________________________________________________ Court Reporter DOROTHY BROWN, CLERK OF THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS