UNITED STATES DISTRICT COURT FOR THE DISTRICT OF NEBRASKA NOTICE OF APPEAL (Criminal) United States of America, Plaintiff, vs. ______________________________, Defendant. ) ) ) ) ) ) ) ) ) District Court Case Number Notice is hereby given that ________________________________________________ _____________________________ appeals to the United States Court of Appeals for the Eighth Circuit from the: 9 Judgment & Commitment 9 Order (Specify) ______________________________________________________ ______________________________________________________________________ entered in this action on (Specify date(s)) __________________________________________ s/ Attorney or Pro Se Defendant CERTIFICATE OF COMPLIANCE I hereby certify that: 1. 2. I have filed or served copies of this notice of appeal upon the United States District Court and all counsel of record. I have completed and attached an Information Sheet to this Notice of Appeal. s/__________________________________ Attorney or Pro Se Defendant ____________________ Date American LegalNet, Inc. www.FormsWorkFlow.com INFORMATION SHEET - CRIMINAL TO BE COMPLETED BY ATTORNEY FOR APPELLANT 1. Defendant's Address: 2. Date of Verdict: Jury Offenses: Non-Jury Bail Status Trial Testimony - Number of Days 3. Sentence and Date Imposed: 4. Appealing: Sentence ________ Conviction ________ Both ________ Application of Sentencing Guidelines Constitutionality of Guidelines Both Application and Constitutionality Challenging: ________ ________ ________ 5. Date Trial Transcript ordered by Counsel or District Court: Name, Address, and Phone Number of Court Reporter or Transcriber in Charge of Preparing Transcript: 6. Trial Counsel was: ________ Appointed ________Retained Does Defendant's financial status warrant appointment of counsel on appeal? ________ Yes ________ No Affidavit of Financial Status filed: _________________________________ Is there any reason why trial counsel should not be appointed as counsel on appeal? ________ Yes ________ No 7. Name and Phone Number of Assistant U.S. Attorney: _____________________ 2 American LegalNet, Inc. www.FormsWorkFlow.com