CLERK OF COURTS PORTAGE COUNTY COMMON PLEAS COURT PO BOX 1035 RAVENNA, OH 44266-1035 330-297-3644NOTICE OF APPEAL INFORMATION SHEET AS OF JULY 1, 2011THE 11TH DISTRICT COURT OF APPEALS IS USING THE ATTACHED FORMS. NOTICE OF APPEAL, TRANSCRIPT INFORMATION, DOCKETING STATEMENT, INSTRUCTIONS TO THE CLERK OF COURTS, PRAECIPE FOR TRANSCRIPT (IF APPLICABLE) AND A COPY OF THE FINAL APPEALABLE ORDER. THE NOTICE OF APPEAL IS TO BE FILED WITH THE TRIAL COURT. THE PARTY FILING THE APPEAL SHALL SET FORTH THE NAME OF EACH OF THE PARTIES AND THE NAME, ADDRESS, TELEPHONE NUMBER AND SUPREME COURT ID NUMBER OF COUNSEL FOR EACH OF THE PARTIES. THE CLERK OF THE TRIAL COURT SHALL BE PROVIDED WITH A SUFFICIENT NUMBER OF COPIES. THE CLERK WILL NEED 1 ADDITIONAL COPY OF EACH ADDITIONAL COUNSEL OR PARTY. ALL FUTURE FILINGS MUST BE FILED WITH THE PORTAGE COUNTY COERK OF COURTS OFFICE IN RAVENNA, OHIO. DO NOT SEND PLEADINGS DIRECTLY TO THE DISTRICT OFFICE IN WARREN. THE CLERK NEEDS THE ORIGIINALAND 4 COPIES OF BRIEFS AND THE ORIGINAL AND 3 COPIES OF MOTIONS. ALL OTHER PLEADINGS THE CLERK NEEDS THE ORIGINAL AND 4 COPIES. IF YOU WISH TO HAVE DATE STAMPED COPIES RETURNED YOU MUST SUPPLY THE CLERK WITH AN ADDITIONAL COPY AND A SELF-ADDRESSED STAMPED ENVELOPE. ADVANCE DEPOSITS NOTICE OF APPEAL EFFECTIVE 2-27-15 ORIGINAL ACTIONS CROSS-AP PEALS SUBPEONAS $150.00 $ 25.00 (SEPARATE FEE PAYABLE TO PO CTY MUNICIPAL COURT) $150.00 $ 50.00 $ 20.00 DEPOSIT FOR EACH SUBPEONA THE ADDRESS AND PHONE NUMBER FOR THE DISTRICT OFFICE IN WARREN IS: COURT OF APPEALS 111 HIGH ST NE WARREN OH 44481 (330-675-2650) 1 American LegalNet, Inc. www.FormsWorkFlow.com NOTICE OF APPEAL (ENTER NAME OF TRIAL COURT) Trial Court No. -vs -Plaintiff-AppellCourt of AppealsNo.Defendant-Appell Notice is hereby given that (name each Appellant) appeals to the Eleventh District Court of Appeals from the trial court Judgment Entry time-stamped (describe it and attach a copy of each Judgment Entry being appealed) Check here if court-appointed and attach copy of appointment and Financial Disclosure/Affidavit of lndigency. Check here if any co-counsel for Appellant andattach a separate sheet indicating name, address,telephone no. and fax no.TRANSCRIPT OF PROCEEDINGS INFORMATION - App. R. 9(8) Counsel or Appellant is responsible for obtaining required information from Court Reporter at the time of filing the Notice of Appeal if a transcript will be ordered. I have ordered a complete transcript from the court reporterEstimated completion date:Estimated number of pages: I have ordered a partial transcript from the courtEstimated completion date:Estimated number of pages: A statement pursuant to App. R. 9(C) or (D) is to be prepared in lieu of a transcript.Videotapes to be filed. See App. R. 9(A) or (B)No transcript or statement pursuant to either App. R. 9(C) or (D) is necessary.Transcript has been completed and already made part of the record.See brief template on this court's website for direction regarding form - www.11thcourt.co.trumbull.oh.us Date Signature of Attorney or Appellant Name Address City, State, Zip Code Atty. Regis. No. Telephone No.Fax No. E-Mail Address American LegalNet, Inc. www.FormsWorkFlow.com ELEVENTH DISTRICT COURT OF APPEALS DOCKETING STATEMENT (To be attached to and filed with Notice of Appeal) Name of Trial Court -vs -Plaintiff-Appell Trial Court No. Court of Appeals No. Defendant-Appell REGULAR CALENDAR Case should be assigned to the Regular Calendar with full briefing.ACCELERATED CALENDAR (Check if this applies) I have read Loe.R.11.1. This appeal meets those requirements, and I request that it be briefed and decided on theAccelerated Calendar. EXPEDITED APPEAL This case should be heard as an expedited appeal as defined under App.R. 11.2 because: (State provision of App.R.11.2 or applicable statute):ORAL ARGUMENT To expedite oral argument, I am willing to travel to whichever adjoining county in which the Eleventh District has the firstavailable date. I want oral argument in this appeal set in the county in which the appeal originates.CASE TYPE A. CriminalSpecify nature of offense(s) (e.g., assault, burglary, rape:) (1)Is the defendant presently in jail? Yes No If the answer is "Yes," give date of incarceration When is he/she due to be released (if you know)? (2)Has a stay been filed in the trial court?YesNo If granted, what are the terms? (3)Does the judgment entry comply with Crim.R. 32(C) by including the plea, verdict or findings, and a sentence?YesNo If the answer is "No," this is not a final appealable order.B. Post-Conviction Relief Date of Conviction: C. CivilSpecify cause(s) of action:App.R. 11.2 (Abortion, Adoption, or Termination of Parental Rights Appeal). American LegalNet, Inc. www.FormsWorkFlow.com PROBABLE ISSUE FOR REVIEW THE FOLLOWING QUESTIONS APPLY TO ALL CIVIL AND ADMINISTRATIVE APPEALS 1.FINAL APPEALABLE ORDER (a)Has the trial court disposed of all claims by and against all parties?Yes (Attach copies of all judgments and orders indicating that all claims against all parties have beenconcluded.)No(b)If the answer to (a) is "No," has the trial court made an express determination that there is "no just reason for delay,"pursuant to Civ.R. 54(B), with respect to the judgment or order from which the appeal is taken?Yes (Attach a copy of that order.)No(c)Is the judgment order subject to immediate appeal under R.C. 2505.02? If so, set forth the specific provision(s) thatauthorize this appeal:(d)Does the right to an immediate appeal arise from a provision of a statute other than R.C. 2505.02? If so, identify thatstatute:2.MEDIATION (a)Would a pre-hearing conference or mediation assist in the resolution of this matter? Yes NoMaybePlease explain (optional) CERTIFICATE OF SERVICE: I certify that I have mailed or otherwise delivered a copy of this Docketing Statement to all counsel of record, or to the parties if unrepresented. The following is a listing of the name, address and telephone number of all counsel and the parties they represent and any parties not represented by counsel: (attach extra sheet if necessary) SIGNATURE American LegalNet, Inc. www.FormsWorkFlow.com INSTRUCTIONS FOR SERVICE OF NOTICE OF APPEAL Plaintiff-Appell -vs -Trial Court No. Defendant-Appell PLEASE LIST ALL PARTIES AND THEIR COUNSEL WHO ARE INVOLVED IN THE APPEAL THE CLERK OF COURTS WILL MAKE SERVICE BY REGULAR MAIL. 1.ATTORNEY'S NAME:ATTY. REGIS. NO.:ADDRESS:PHONE NUMBER;WHO THEY REPRESENT:2.ATTORNEY'S NAME:ATTY. REGIS. NO.:ADDRESS:PHONE NUMBER:WHO THEY REPRESENT:3.ATTORNEY'S NAME:ATTY. REGIS. NO.:ADDRESS:PHONE NUMBER:WHO THEY REPRESENT:ATTORNEY FILING APPEAL ATTY. REGIS. NO. ADDRESSPHONENO.(CONTINUE ON NEXT PAGE IF NEEDED) American LegalNet, Inc. www.FormsWorkFlow.com 4.ATTORNEY'S NAME:ATTY. REGIS. NO.:ADDRESS:PHONE NUMBER: WHO THEY REPRESENT: 5.ATTORNEY'S NAME: ATTY. REGIS. NO.:ADDRESS:PHONE NUMBER: WHO THEY REPRESENT: 6.ATTORNEY'S NAME: ATTY. REGIS. NO.:ADDRESS:PHONE NUMBER: WHO THEY REPRESENT: 7.ATTORNEY'S NAME: ATTY. REGIS. NO.:ADDRESS:PHONE NUMBER: WHO THEY REPRESENT: American LegalNet, Inc. www.FormsWorkFlow.com