IN THE _________________________ COURT _______________COUNTY, OHIO ___________________________ Plaintiff v. ___________________________ Defendant Trial Ct. Case No. __________________ Appellate Case No. _________________ STATEMENT AND PRAECIPE (Partial Transcript) TO THE APPELLEE(S): The appellant hereby states that he intends to include in the record a partial transcript of the proceedings in the trial court consisting of: (here describe the parts of the proceedings which appellant(s) intend to include in the record) TO THE CLERK: Immediately prepare and assemble the original papers and exhibits thereto filed in the trial court and a certified copy of the docket and journal entries. As a partial transcript of proceedings (as above) will be included by the appellant(s) as part of the record to portray the above assignments(s) of error, do not transmit these documents to the clerk of the Court of Appeals of this county for file in case number in that court until the partial transcript of proceedings (as above) has been delivered to you by the undersigned. At that time you will transmit the documents prepared and assembled by you and the partial transcript of proceedings delivered to you by the undersigned to the clerk of the Court of Appeals for file as the record on appeal. In the event that the undersigned does not furnish you with the partial transcript of proceedings (as above) within forty days after the filing of the notice of appeal, or within the time for filing the record set forth in the accelerated calendar scheduling order, or within any proper extension of the time for transmission of the record, as prescribed by the Appellate Rules or by the Local Appellate Rules, then upon such fortieth day, or pursuant to American LegalNet, Inc. www.FormsWorkFlow.com scheduling order, or upon the last day of any proper extension of the time for transmission of the record, you shall transmit the documents prepared and assembled by you to the clerk of the Court of Appeals, without such partial transcript of proceedings for file as the record on appeal. __________________________________ __________________________________ __________________________________ __________________________________ CERTIFICATE OF SERVICE I hereby certify that a copy of this Statement and Praecipe was served by regular mail upon ______________________________________________________________________________ ___________________________________________________ this ____ day of ____________, 20__. __________________________________ American LegalNet, Inc. www.FormsWorkFlow.com