Form 7. Declaration of Inmate Filing Enter name of court; for example United States District Court for the District Minnesota Enter the plaintiff v. Case No. Enter the case number Enter the defendant I am an inmate confined in an institution. Today, Enter todays date , I am depositing the Enter the 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 Enter the 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).] 11/16 American LegalNet, Inc. www.FormsWorkFlow.com