Court of Appeals, State of Michigan Jurisdictional Checklist Trial Court/Tribunal Name: CASE NO. Trial Court/Tribunal: Court of Appeals: Case Name: v INSTRUCTIONS: Please complete this checklist and file with your claim of appeal. ALL of the numbered items are required. Check each box as you confirm that each item is being filed. A signed claim of appeal showing the correct lower court number(s). [MCR 7.204(B)(1) & (D).]A filing fee of $375.00 or appropriate fee substitute. [MCR 7.202(3) & 7.204(B)(2).] (Where multiple lowercourt or tribunal numbers are involved, an additional filing fee may be required. Appellants will be advised of anyadditional amount required.)A copy of the order you are appealing. [MCR 7.204(C)(1).] (This is the order deciding the merits and not anorder denying reconsideration, new trial, or other post-judgment relief.)Evidence that the necessary transcript has been ordered. [MCR 7.204(C)(2).] (Only one item froma through g is required).No transcript will be filed. [MCR 7.204(C)(2)]The transcript has already been filed. [MCR 7.210(B)(1)(a).]The complete transcript has been ordered. [MCR 7.210(B)(1)(a).]This appeal is from a probate court proceeding which does not require a complete transcript.[MCR 7.210(B)(1)(b).]A motion has been filed in the lower court or tribunal for submission of the appeal on less thanthe complete transcript. [MCR 7.210(B)(1)(c).]The parties have stipulated to submission of the appeal on less than the complete transcript.[MCR 7.210(B)(1)(d).]The parties have stipulated to a statement of facts. [MCR 7.210(B)(1)(e).]Proof of service demonstrating that all other parties have been served. [MCR 7.204(C)(3).] (Even if aparty is not an appellee, they must be served.)A current register of actions from the lower court or tribunal. [MCR 7.204(C)(5).]Finality of Order Being Appealed (Check the box that demonstrates your claim of appeal is by right. If neither applies, you do not have an appeal by right.) The claim of appeal is from an order defined as a final order by MCR 7.202(6) or MCR 5.801(). [MCR 7.203(A)(1).] Please specify which category of final order applies: The claim of appeal is from an order which is designated by statute, court rule, or case law as an order appealable by right to the Court of Appeals. Please specify the authority under which you have an appeal by right: DatePreparer222sSignature American LegalNet, Inc. www.FormsWorkFlow.com