IN THE COURT OF GENERAL SESSIONS SHELBY COUNTY,TENNESSEE Plaintiff(s) vs. Case ID: Defendant(s) _______________________________________________________________ NOTICE OF APPEAL ______________________________________________________________________ NOTICE OF APPEAL: I, , Appellant do hereby give notice that I desire to appeal the decision rendered in this case on to the Circuit Court, Shelby County, Tennessee. ___ Filing Fees Paid ___ Filed as Indigent Appellant Signature: ________________________________________________________ Edward L. Stanton, Jr, Clerk Pro Tempore By: Deputy Clerk-General Sessions Court, Shelby County Tennessee Date: PARTY INFORMATION: ADDITIONAL PARTY NAME: Name: Address: Phone No. Name: Address: Phone No: Name: Address: Phone No: American LegalNet, Inc. www.FormsWorkFlow.com