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STATE OF NEBRASKA FORM NO. Appendix 2 Rev. 2/09 Chapter 6, Article 14 CERTIFICATE OF CIVIL APPEAL CASE NUMBER: _____________________ IN THE COUNTY COURT OF COUNTY, NEBRASKA vs. Plaintiff Attorney: Address: Telephone: Attorney: Address: Telephone: No. Defendant No. I certify that the attached are true and accurate copies of pleadings filed in the above-captioned case. The case is a civil case originating in the County Court: Adoption Inheritance Tax Juvenile Probate Adjudication Guardianship Termination Criminal Notice of appeal directed to: Court of Appeals OR Statutory The notice of appeal was filed on The statutory docket fee was paid on a poverty affidavit was filed on All motions for new trial have been disposed of: Yes. Date: No No motions for new trial filed. Date: (SEAL) Clerk Magistrate By: Supreme Court Authority: Constitutionality of statute . . ; or American LegalNet, Inc. www.FormsWorkFlow.com