Nebraska State Court Form CERTIFICATE OF CRIMINAL APPEAL Ch. 2, Art. 1, App. 6 Effective 1/1/15 IN THE DISTRICT COURT OF __________________ COUNTY, NEBRASKA Trial Court No. _____________ CERTIFICATE OF CRIMINAL APPEAL STATE OF NEBRASKA, Plaintiff, Vs. ______________________, Defendant. Attorney: _____________________ Bar No ___________ Address: _____________________________________ Telephone:___________________________________ Attorney: _____________________ Bar No ___________ Address: ______________________________________ Telephone:___________________________________ I certify that the attached are true and accurate copies of pleadings filed in the above-captioned criminal case. Type of plea: not guilty (trial held) to jury to judge OR guilty or nolo contendere Type of case: Origin of case: felony County Court (appeal to District Court) misdemeanor District Court postconviction Other ________________ plea in bar other Supreme Court Statutory authority: Death sentence Life imprisonment Constitutionality of statute Other (specify statute)___________ Notice of appeal filed on ________________________. Statutory docket fee paid on _____________________; or poverty affidavit filed on _________________________. OR Cost bond in the amount of $_____________ posted on _________________. Cash in lieu of cost bond in the amount of $_____________ posted on ____________; or supersedeas bond in the amount of $_______________ posted on __________________. All motions for new trial have been disposed of: Yes. Date: _________________________________ No. No motions for new trial filed. Date: ____________________________ (SEAL) Page 1 of 1 Certificate of Criminal Appeal Ch.2. Art.1, App.6 Effective 1/2015 Notice of appeal directed to: Court of Appeals ________________________________ Clerk of District Court By: ____________________________ Appendix 6 (Neb. Ct. R. ­ Chapter 2, Article 1) Appendix 6 amended October 29, 2008; amended September 24, 2014, effective January 1, 2015. American LegalNet, Inc. www.FormsWorkFlow.com