Print Form NOTICE OF APPEAL Style ________________________________________________________________________ vs. __________________________________________________________________ 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 ___________________ Court of ______________ [List the Circuit, Criminal, [List the County] Chancery or Juvenile court] County filed on _____________ to the ______________________________________ [List the date(s) the [Name the Court of Appeals (civil), Court of final judgment(s) Criminal Appeals (criminal), or Supreme Court was filed in the (Workers' Compensation)] trial court clerk's office] Additional Information Type of Case [Check the most appropriate item] ____ Death Penalty ____ Civil ____ Criminal ____ Post Conviction ____ Worker's Compensation ____ Parental Termination ____ Habeas Corpus ____ Juvenile ____ Dependent and Neglect 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 21 American LegalNet, Inc. www.FormsWorkFlow.com Criminal Appeal Appearance Bond [Check the most appropriate item] Order appointing counsel with copy attached Appearance bond with copy attached Incarcerated pending appeal TDOC Number [Appellant is an inmate] 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: Attorney's Address: ____________________________ ____________________________ BPR#: ________ 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] 22 American LegalNet, Inc. www.FormsWorkFlow.com