Form 7. Declaration of Inmate Filing ________________________________________________ [insert name of court; for example, United States District Court for the District of Minnesota] A.B., Plaintiff v. C.D., Defendant Case No. ______________ I am an inmate confined in an institution. Today, ___________ [insert date], I am depositing the ___________ [insert title of document; for example, "notice of appeal"] in this case in the institution's internal mail system. First-class postage is being prepaid either by me or by the institution on my behalf. I declare under penalty of perjury that the foregoing is true and correct (see 28 U.S.C. § 1746; 18 U.S.C. § 1621). Sign your name here_______________________________ Signed on ____________ [insert date] [Note to inmate filers: If your institution has a system designed for legal mail, you must use that system in order to receive the timing benefit of Fed. R. App. P. 4(c)(1) or Fed. R. App. P. 25(a)(2)(C).] (As added Apr. 28, 2016, eff. Dec. 1, 2016.) Rev.: 12/16 Form 7 American LegalNet, Inc. www.FormsWorkFlow.com