Rule 1.301, Form No. 5 IN THE SUPREME COURT OF THE STATE OF OKLAHOMA ) ) ) ) ) ) ) ) ) , Plaintiff/Appell_____, vs. , Defendant/Appell_____. No. PETITION IN ERROR _____ _____ _____ _____ PETITION IN ERROR AMENDED OR SUPPLEMENTAL PETITION CROSS PETITION COUNTER-PETITION DATE FIRST PETITION IN ERROR FILED: ____________________ I.TRIAL COURT HISTORY COURT/TRIBUNAL: _____________________________________________________ COUNTY: _____________________________________________________________ CASE NO.: _____________________________________________________________ JUDGE: ________________________________________________________________ NATURE OF CASE: ______________________________________________________ (e.g., Divorce, Personal Injury) NAME OF PARTY OR PARTIES FILING THIS PETITION IN ERROR: ______________________________________________________________________ THE APPEAL IS BROUGHT FROM: (Check one) _____ Judgment, Decree or Final order of District Court. _____ Appeal from order granting summary judgment or motion to dismiss where motion filed after October 1, 1993 (Accelerated procedure under Rule 1.36). _____ Appeal from Revocation of Driver's License (Rule 1.21(b)). _____ Final Order of Other Tribunal. (Specify Corporation Commission, Insurance Department, Tax Commission, Court of Tax Review, Banking Board or Banking Commissioner, etc. _________________________) _____ Interlocutory Order Appealable by Right. _____ Other _______________________________________________________ American LegalNet, Inc. www.FormsWorkFlow.com II. TIMELINESS OF APPEAL 1. Date judgment, decree or order appealed was filed:_______________________. 2. If decision was taken under advisement, date judgment, decree or order was mailed to parties: ____________________ 3. Does the judgment or order on appeal dispose of all claims by and against all parties? ____ Yes _____ No. If not, did district court direct entry of judgment in accordance with 12 O.S. � 994? _____Yes _____ No. When was this done? _________________ 4. If the judgment or order is not a final disposition, is it appealable because it is an Interlocutory Order Appealable by Right? _____ Yes _____ No. 5. If none of the above applies, what is the specific statutory basis for determining the judgment or order is appealable? ____________________________________ 6. Were any post-trial motions filed? Type Date Filed Date Disposed ____________________ _____________________ ____________________ ____________________ _____________________ ____________________ ____________________ _____________________ ____________________ 7. This Petition is filed by: ___ Delivery to Clerk, or ___Mailing to Clerk by U.S. Certified Mail, Return Receipt Requested, on ____________ (date) III. RELATED OR PRIOR APPEALS List all prior appeals involving same parties or same trial court proceeding: ________ ___________________________________________________________________ List all related appeals involving same issues: __________________________________ ____________________________________________________________________ (Identify by Style, Appeal Number, Status, and Citation, if any. If none, so state.) American LegalNet, Inc. www.FormsWorkFlow.com IV. SETTLEMENT CONFERENCE Is appellant willing to participate in an attempted settlement of the appeal by predecisional conference under Rule 1.250? _____Yes _____No V. RECORD ON APPEAL _____ A Transcript will be ordered. _____ No Transcript will be ordered because no record was made and/or no transcript will be necessary for this appeal _____ A Narrative Statement will be filed _____ Record is concurrently filed as required by Rule 1.34 (Driver's License Appeals, etc.) or Rule 1.36 (Summary judgments and motions to dismiss granted). VI. JUDGMENT, DECREE OR ORDER APPEALED -- EXHIBIT "A" (Attach as Exhibit "A" to the Petition in Error a certified copy of the judgment, decree or order from which the appeal is taken. If a post-trial motion extending appeal time under Rule 1.22 was filed, a certified copy of the order disposing of the motion must be attached also.) VII. SUMMARY OF CASE -- EXHIBIT "B" Attach as Exhibit "B" a brief summary of the case not to exceed one 8 �"x 11" double spaced page. VIII. ISSUES TO BE RAISED ON APPEAL -- EXHIBIT "C" Attach as Exhibit "C" the issues proposed to be raised. Include each point of law alleged as error. Avoid general statements such as "Judgment not supported by law." American LegalNet, Inc. www.FormsWorkFlow.com IX. NAME OF COUNSEL OR PARTY, IF PRO SE ATTORNEY FOR APPELLANT Name: OBA No.: Firm: Designated Case-Specific Email Address: [if applicable] Secondary Email Address: [if applicable] Address: Telephone: ATTORNEY FOR APPELLEE Name: OBA No.: Firm: Designated Case-Specific Email Address: [if applicable] Secondary Email Address: [if applicable] Address: Telephone: DATE: ______________________ 20___ Verified by (Signature of Attorney or Pro Se Party) Firm Designated Case-Specific Email Address [if applicable] Secondary Email Address [if applicable] Address Telephone American LegalNet, Inc. www.FormsWorkFlow.com X. CERTIFICATE OF MAILING TO ALL PARTIES AND COURT CLERK I hereby certify that a true and correct copy of the Petition in Error was mailed this ___ day of ________________, 20___ by depositing it in the U.S. Mail, postage prepaid or by electronic mail to ____________________________ _______________________________________________________________________. (Name and Address and/or Email Address of Each Party or Counsel) I further certify that a copy of the Petition in Error was mailed to, or filed in, the Office of ________________________________________________________ on the (Court Clerk or Other Tribunal) ___ day of ______________________, 20___. American LegalNet, Inc. www.FormsWorkFlow.com