Form # App.R. 16-2 IN THE INDIANA [SUPREME COURT/COURT OF APPEALS/TAX COURT] CAUSE NO. ________________________ NAME, [Appellant/Petitioner], ([Plaintiff/Defendant/ Claimant/Respondent below]), v. NAME, [Appellee/Respondent], ([Plaintiff/Defendant/ Claimant/Respondent below]). ) ) ) ) ) ) ) ) ) ) ) ) ) [Appeal or Petition] from the [______ Court or Administrative Agency] Trial Court [or Administrative Agency number] Case No.: __________________________ The Honorable ____________________, Judge. APPEARANCE (in Interlocutory appeals) I. Party Information Name: _____________________________________________________________ Address: _____________________________________________________________ _____________________________________________________________ The following party information only if not represented by an attorney: Tel. No.:_______________ Fax No.:________________ E-Mail: _________________________________ Requesting service of orders and opinions of the Court by: E-mail FAX or U.S. Mail (choose one) In forma pauperis: Yes No II. Attorney Information (if party represented by attorney) Attorney Name: ____________________________________________ Indiana Attorney #: _________________________ Address: _____________________________________________________ _____________________________________________________ Tel. No.: _______________ Fax No.: ________________ E-Mail: ______________________________________ Attorney Name: ____________________________________________ Indiana Attorney #: _________________________ Address: _____________________________________________________ _____________________________________________________ Tel. No.: _______________ Fax No.: ________________ E-Mail: ______________________________________ Attorney Name: ____________________________________________ Indiana Attorney #: _________________________ Address: _____________________________________________________ American LegalNet, Inc. www.FormsWorkFlow.com Tel. No.: E-Mail: _____________________________________________________ _______________ Fax No.: ________________ ______________________________________ Attorney Name: ____________________________________________ Indiana Attorney #: _________________________ Address: _____________________________________________________ _____________________________________________________ Tel. No.: _______________ Fax No.: ________________ E-Mail: ______________________________________ IMPORTANT: Each attorney specified above: (a) certifies that the contact information listed for him/her on the Indiana Supreme Court Roll of Attorneys is current and accurate as of the date of this Appearance; (b) acknowledges that all orders, opinions, and notices in this matter will be sent to the attorney at the email address(es) specified by the attorney on the Roll of Attorneys regardless of the contact information listed above for the attorney; and (c) understands that he/she is solely responsible for keeping his/her Roll of Attorneys contact information current and accurate, see Ind. Admis. Disc. R. 2(A). Attorneys can review and update their Roll of Attorneys contact information on the Clerk of Courts Portal at http://appealsclerk.in.gov. III. Appellate ADR (in all civil cases) (circle one) Appellee is is not willing to participate in Appellate ADR. Respectfully submitted, Signed: Printed: Address: _________________________________________ _________________________________________ [Insert Name of Attorney or pro se party] _________________________________________ _________________________________________ Telephone number: _________________________________ ________________________ Attorney Number (if applicable): CERTIFICATE OF SERVICE I hereby certify that on this _______ day of _______________, 20_____, the foregoing was served upon the following parties, by [state exact method of service]: [List names and address of: (1) counsel of record or pro se party; (2) Attorney General, if applicable] ________________________________________ [Signature] American LegalNet, Inc. www.FormsWorkFlow.com