TRIAL COURT OFFICIAL'S REQUEST FOR EXTENSION OF TIME TO FILE RECORD Court of Appeals No. (If known): Trial Court Style: Trial Court & County: Date Trial Clerk's Record Originally Due: Date Court Reporter's/Recorder's Record Originally Due: Anticipated Number of Pages of Record: I am responsible for preparing a record in this appeal but I am unable to file the record by the original due date for the following reason/s: (Check all that apply - attach additional pages if necessary.) Trial Court No.: 12 - - - o o o to the best of my knowledge, the Appellant has made no claim of indigence and has failed to either the required fee or to make arrangements to pay the fee for preparing the record. my duties listed below preclude working on this record: Other. (Explain.): , and I I anticipate this record will be completed and forwarded to the 12th Court of Appeals by hereby request an additional days within which to prepare it. TEX. R. APP. P. 37.3. In compliance with TEX. R. APP. P. 9.5(e), I certify that a copy of this notice has been served on counsel for all parties to the trial Court's judgment or order being appealed. I further certify by my signature below that the information contained in this notice is true and within my personal knowledge. Date Office Phone Number ___________________________________ E-mail Address (if available) Signature Printed Name Official Title American LegalNet, Inc. www.FormsWorkFlow.com Trial Clerk's/Court Reporter's Request for Ext/12th CA-CsL/Tyler/12-3-97/Rev.5-3-2001 TEXAS RULE OF APPELLATE PROCEDURE 9.5(e) reads: Certificate requirements. A certificate of service must be signed by the person who made the service and must state: (1) the date and manner of service; (2) the name and addresses of each person served; and (3) if the person served is a party's attorney, the name of the party represented by that attorney. The following parties have been served with a copy of this document: (Information may be either printed or typed.) Lead Counsel for APPELLANT(S): Lead Counsel for APPELLEE(S): Name: Address: Name: Address: Phone no.: Attorney for: Phone no.: Attorney for: Lead Counsel for APPELLANT(S): Name: Address: Lead Counsel for APPELLEE(S): Name: Address: Phone no.: Attorney for: Phone no.: Attorney for: Additional information, if any: American LegalNet, Inc. www.FormsWorkFlow.com American LegalNet, Inc. www.FormsWorkFlow.com