Local Criminal Notice of Appeal Form. NOTICE OF APPEAL United States District Court _____________________District of ____________________ _____________________________ Docket No.: __________________________________ _____________________________ ______________________________________ (District Court Judge) Notice is hereby given that ___________________________________ appeals to the United States Court of Appeals for the Second Circuit from the judgment [________________] other [_______________] __________________________________________ (specify) entered in this action on ___________________________________(date). Offense occurred after November 1, 1987 Yes [___] No [___] Date_________________________________ ___________________________________________________________ (Counsel for Appellant) Address ____________________________________________________ ____________________________________________________ ____________________________________________________ ADD ADDITIONAL PAGE IF NECESSARY Telephone Number ___________________________________________ ______________________________________________________________________________________________________ TO BE COMPLETED BY ATTORNEY TRANSCRIPT INFORMATION - FORM B ___________________________________________________________________________________________________________________ QUESTIONNAIRE TRANSCRIPT ORDER DESCRIPTION OF PROCEEDINGS FOR WHICH TRANSCRIPT IS REQUIRED (INCLUDE DATE) Prepare transcript of Dates [____] Prepare proceedings______________________________________ [____] Trial__________________________________________________ [____] Sentencing_____________________________________________ [____] Post-trial proceedings____________________________________ [____] I am ordering a transcript [____] I am not ordering a transcript Reason: [____] Daily copy is available [____] U.S. Attorney has placed order [____] Other. Attach explanation The attorney certifies that he/she will make satisfactory arrangements with the court reporter for payment of the cost of the transcript (FRAP 10(b)). Method of payment: [____] Funds [____] CJA Form 24 [____] ______________________________________________________________________________________________________________________________ ATTORNEY’S SIGNATURE DATE TO BE COMPLETED BY Court Reporter and forwarded to Court of Appeals COURT REPORTER ACKNOWLEDGMENT Date order received Estimated completion date Date _________________________ Estimated number of pages Signature___________________________ (Court Reporter) DISTRIBUTE COPIES TO THE FOLLOWING: 1. 2. 3. Original to U.S. District Court (Appeals Clerk). Copy U.S. Attorney’s Office. Copy to Defendant’s Attorney 4. U.S. Court of Appeals 5. Court Reporter (District Court) USCA-2 FORM A Rev. 10-02 American LegalNet, Inc. www.USCourtForms.com