NOTICE OF APPEAL Style ________________________________________________________________________ v. ________________________________________________________________________ Notice Notice is given that ________________________________________________________ [List name(s) of all appealing party(ies) on separate sheet if necessary] appeals the final judgment(s) of the Chancery Court of Davidson County filed on _____________________ to the ____________________________________________________ [List the date(s) the final [Name the Court of Appeals (civil) or judgment(s) was filed in Supreme Court (Workers’ Compensation)] the trial court clerk’s office] Additional Information Type of Case [Check the most appropriate item] ______ Civil _______ Workers’ Compensation ______ Other (Specify: ________) Trial Court Number ________________________ Trial Court Judge ________________________ Civil Appeal Cost Bond [Check the most appropriate item] ______ Filed in trial court with copy attached ______ Indigent with copy of indigency order or affidavit attached ______ Cash bond filed in trial court with copy attached TDOC Number [Appellant is an inmate] _______________________ American LegalNet, Inc. www.FormsWorkFlow.com List of Parties Appellant: _________________________________________ At trial: □ Plaintiff □ Defendant Party’s Address: ___________________________________________ ___________________________________________ Party’s Telephone: _________________________________________ Attorney’s Name: __________________________________________ Attorney’s Address: ________________________________________ ________________________________________ BPR#: _______ Phone: _______ *Attach an additional sheet for each additional Appellant* Appellee(s) Appellee: ___________________________________________ At trial: □ Plaintiff □ Defendant Appellee’s Address: ____________________________________________________ ____________________________________________________ Attorney’s Name: ______________________________________ BPR#: _________ Attorney’s Address: ____________________________________ Phone: _________ *Attach an additional sheet for each additional Appellee* CERTIFICATE OF SERVICE I, ____________________________________, certify that I have forwarded a true and exact copy of this Notice of Appeal by First Class, United States mail, postage prepaid, to all parties and/or their attorneys in this case in accordance with Rule 20 of the Tennessee Rules of Appellate Procedure on this the ____ day of _________________________, 20 ___. __________________________________ [Signature of appellant or attorney for Appellant] American LegalNet, Inc. www.FormsWorkFlow.com American LegalNet, Inc. www.FormsWorkFlow.com