STATE OF MAINE DISTRICT COURT Location Docket No. Plaintiff v. Defendant For the Plaintiff: Notice is hereby given that the Plaintiff appeals to the Superior Court from the Judgment entered in this action on . Date: Signed: NOTICE OF APPEAL Small Claims M.R.S.C.P. 11(b) Address of Plaintiff ****************************************************************** For the Defendant: Notice is hereby given that the Defendant appeals to the Superior Court from the Judgment entered in this action on . The defendant (does) (does not) request a jury trial de novo. If a jury trial is requested, state the grounds of the appeal: If a jury trial is requested, an affidavit must be attached setting forth specific facts showing that there is a genuine issue of material fact as to which there is a right to trial by jury. Date: Signed: Address of Defendant ****************************************************************************** CHECK THE BOX THAT APPLIES: Transcript Order attached. No electronic or other recording of the proceedings being available, a statement in lieu of transcript will be prepared. Date: SC-007, Rev. 06/14 Signed: Appellant Page 1 of 1 American LegalNet, Inc. www.FormsWorkFlow.com