MISSOURI COURT OF APPEALS WESTERN DISTRICT CRIMINAL CASE INFORMATION FORM [Please type or neatly print the information requested. This form must be filed with Form No. 8-B] ______________________________________ County _____________________________________ Judge _____________________________________ ______________________________________ vs. Associate Judge ______________________________ Circuit No. ___________________________________ ______________________________________ Circuit Court No. ______________________________ Division No.___________________________________ ______________________________________ Date Notice of Appeal filed in Circuit Court ______________________________________ The Record on Appeal Will consist of: _______ Legal File & Transcript or _______ Legal File Only For Identifications Purposes, please complete the following: Appellant's Social Security No. _____________________________ Height______ Weight______ D.O.B. __________________ Ethnic Origin _________________________________ Court ( ) Jury ( ) Was change of venue granted? _______ Date of Verdict ___________________ If so, from which County _____________________ Was change of judge granted? ________ If so, from which judge? __________________________________ Was Extension of time Granted for filing Post Trial Motions? ________ If so, how long? ___________________________________ Date Post Trial Motion filed _________________________________ Date Post Trial Motion Ruled Upon ___________________________ Date of Judgment and Sentence _____________________________ Charges Convicted of __________________________________________________________________________ Length of Sentence ____________________________________________________________________________ Is this Case a [ ] Misdemeanor or [ ] a Felony? Bail/Jail Disposition: Check One [ ] COMMITTED [ ] NOT COMMITTED Amount of Appeal Bond Set _____________________________________________________________________ Date of Appeal Bond __________________________________________________________________________ ________________________________________ Name of Surety ________________________________________ Address of Surety ________________________________________ City State Zip ________________________________________ Telephone No. ______________________________________ Name of Appellant ______________________________________ Address of Appellant ______________________________________ City State Zip American LegalNet, Inc. www.USCourtForms.com ATTACH COPY OF APPEAL BOND, IF ANY Was Counsel [ ] Appointed or [ ] Retained? (Amended and Effective July 2, 1987) Form 315 9/90 American LegalNet, Inc. www.USCourtForms.com