IN THE COURT OF APPEALS SOUTHERN DISTRICT CIVIL CASE INFORMATION FORM (This form must be filed with the Notice of Appeal) List every party involved in the case, indicate the position of the party in the circuit court (e.g. plaintiff, defendant, intervenor) and in the Court of Appeals (e.g. appellant or respondent) and the name of the attorney of record, if any, for each party. Attach additional sheets to identify all parties and attorneys if necessary. Party Attorney ___________________________ ____________________________ Name Bar No. ___________________________ ____________________________ Address ____________________________ ___________________________ City, State, Zip Code ___________________________ Telephone Number ___________________________ Fax Number ____________________________ VS _________________________________ _________________________________ _________________________________ Name Bar No. ____________________________ Address ____________________________ City, State, Zip Code ____________________________ Telephone Number ____________________________ Fax Number Date Notice of Appeal filed in Circuit Court ___________________________________ ATTACH A COPY OF THE JUDGMENT OR ORDER APPEALED The Record on Appeal will consist of: _________ Legal File Only _________ Legal File and Transcript FACTUAL BACKGROUND: (Events giving Rise to the Cause of Action. Attach one American LegalNet, Inc. www.FormsWorkflow.com additional page, if necessary). ISSUES EXPECTED TO BE RAISED ON APPEAL: (Attach one additional page, if necessary. Appellant is not bound by this list. Attach copy of post-trial motion, if one was filed). A COPY OF THIS FORM AND ATTACHMENTS MUST BE SERVED ON THE RESPONDENT (Adopted March 16, 1999) American LegalNet, Inc. www.FormsWorkflow.com