UNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF IOWA OFFICE OF THE CLERK P. O. BOX 9344 DES MOINES, IA. 50306-9344 515-284-6248 Criminal Case Notice of Appeal Supplement COUNSEL FOR APPELLANT PLEASE COMPLETE AND SUBMIT WITH NOTICE OF APPEAL Case Name: _____________________________ vs. _________________________________ District Court Case # ____:____- cr - _________ Appeal Fee ($455.oo) Status Pd___ IFP___ Pending ___ Govt. Appeal ___ Trial Counsel Appointed ____ CJA ____ Public Defender____ Retained ____ Appeal filed by Counsel____ Pro Se____ Any reason why counsel should not be appointed __________________________________ Pending post Judgment motions Yes___ No___ Type of Motion _____________________ Public interest case Yes ____ No ____ Simultaneous Opinion Release Yes___ No___ Trial Yes___ No___ Length of Trial __________________ Court Reporter Yes ___ No ___ Reporter’s Name _______________________________ Phone ____________________ Address _______________________________________ Appealing: Conviction____ Sentence____ Both____ Challenging Sentencing Guidelines: Application____ Constitutionality____ Both___ Defendant incarcerated Yes____ No____ Defendant’s Address ___________________________________ ___________________________________ ___________________________________ Please list all other defendants Habeas Only: Is this a death penalty appeal Yes ___ No ___ Certificate of Appealability filed Yes ___ No ___ CoA Status: Pending ___ Granted____ Denied____ Statistical Civil Case Number: ___:___- cv - __________ American LegalNet, Inc. www.FormsWorkflow.com