Federal Rules of Appellate Procedure Form 7. Declaration of Inmate Filing United States District Court for the District of _________________________________ A.B., Plaintiff, v. ) ) ) ) ) ) Case No. __________________ C.D., Defendant. 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).] American LegalNet, Inc. www.FormsWorkFlow.com