Certification Of Continued Indigency And Eligbility For Appointment Of Counsel On Appeal
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Certification Of Continued Indigency And Eligbility For Appointment Of Counsel On Appeal Form. This is a New York form and can be use in Appellate Division Appellate Courts.
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Tags: Certification Of Continued Indigency And Eligbility For Appointment Of Counsel On Appeal, New York Appellate Courts, Appellate Division
STATE OF NEW YORK
COUNTY OF
FAMILY COURT
Certification of continued
indigency and eligibility for
appointment of counsel on
appeal.
IN THE MATTER OF
Petitioner,
-against-
Family Court
Docket No.
Respondent.
I
an attorney-at-law, certifies as follows:
1. That this is an appeal from an order of the Family Court,
entered
I
County (
I
J.),
which
2. That a notice of appeal was timely filed in the
County Family Court Clerk's Office and
timely served on all necessary parties.
3. Appellant or movant has been represented in Family Court by assigned counsel or a law guardian
pursuant to sections 249, 262 or 1120 of the Family Court Act, or section 722 of the County Law, or by a legal aid
society or legal services program or other nonprofit organization which has as its primary purpose the furnishing
of legal services to indigent persons, or by private counsel working on behalf of or under the auspices of such
society or organization.
4. That appellant or movant has indicated an intention to appeal.
5. That appellant or movant continues to be indigent and to be eligible for assignment of counsel.
6. A copy of this certification is being provided to the County Attorney.
Please check the applicable sentence below:
Address of Client:
I will continue to serve as counsel on the appeal.
I request appointment of other counsel on the appeal.
DATED:
Signature
Print Name:
Address:
*Send the original of this certification along with a copy of your notice of appeal and the order being appealed to
the Clerk's Office, New York State Supreme Court, Appellate Division, Third Department, PO Box 7288,
Capitol Station, Albany, NY 12224-0288. Also send a copy of this certification to the County Attorney.
Revised 8/2006
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