Appellate Docket Number: ___________________________________________ Appellate Case Style: DOCKETING STATEMENT (CRIMINAL) Court of Appeals [to be filed in the court of appeals upon perfection of appeal under TRAP 32] I. Parties (TRAP 32.2(a)): Appellant (or Appellee, if State is appealing): Co-defendant(s): (See note at bottom of page) Trial Attorney: Appointed G Appellate Attorney: Retained G Appointed G Retained G If appointed, was a hearing on indigency held? Yes G No G Address: Address: Please note: Notification from the Clerk’s office can be made by either postal mail or electronic mail. Please indicate your preference below: Postal Mail Preference _________ Electronic Mail Preference ________ Email Address ____________________________ Telephone: (include area code) Telephone: (include area code) Telecopy: (include area code) Telecopy: (include area code) SBN: SBN: HOU05:76691.1 American LegalNet, Inc. www.USCourtForms.com If not represented by counsel, provide appellant’s (appellee’s, if State is appealing) address, telephone number, and telecopy number. II. Perfection Of Appeal, Judgment And Sentencing (TRAP 32.2(b), (d), (f), (g), (h), (i), (j), (k)): Date trial court imposed or suspended sentence in open court or date trial court entered appealable order: Date notice of appeal filed in trial court: (Attach file-stamped copy; if mailed to the trial court clerk, also give the date of mailing) (Attach a signed copy, if possible) Offense charged: Punishment assessed: Is the appeal from a pretrial order? Yes G No G If yes, please specify. Date of offense: Defendant’s plea: Does the appeal involve the validity of a statute, rule or ordinance? Yes G No G If guilty, does Defendant have the trial court’s permission to appeal? If yes, please specify. Yes G No G Will you challenge this Court’s jurisdiction? If yes, explain. Was the trial jury or nonjury? Guilt or innocence phase: Jury G Nonjury G Punishment phase: Jury G III. Nonjury G Actions Extending Time To Perfect Appeal (TRAP 32.2(e)): Action Motion for New Trial HOU05:76691.1 Filed Check as appropriate No G Date Filed Yes G -2American LegalNet, Inc. www.USCourtForms.com Motion in Arrest of Judgment No G Yes G Other (specify): No G Yes G IV. Indigency Of Party (TRAP 32.2(n)): (Attach file-stamped copy of motion and affidavit) Filed Check as appropriate Event No G Motion and affidavit filed Date N/A Yes G Date of hearing: Date of order: Ruling on motion: Granted G Denied G V. Trial Court And Record (TRAP 32.2(c), (l), (m)): Court: County: Trial Court Docket Number (Cause No.): Trial Judge (who tried or disposed of case): Court Clerk (district clerk): Telephone Number: (include area code) Telephone Number: (include area code) Telecopy Number: (include area code) Address: Telecopy Number: (include area code) Address: HOU05:76691.1 -3American LegalNet, Inc. www.USCourtForms.com Clerk’s Record Will request G Was requested on: (Note: No request required under TRAP 34.5(a), (b)) Yes G Court Reporter or Court Recorder: Court Reporter or Court Recorder: Telephone Number: (include area code) Telephone Number: (include area code) Telecopy Number: (include area code) Telecopy Number: (include area code) Address: Address: (Attach additional sheet if necessary for additional court reporters/recorders) Length of trial (approximate): Reporter’s or Recorder’s Record (check if electronic recording G) VI. State arrangements made for payment of court reporter/recorder: None G Will request G Was requested on: Related Matters: List any pending or past related appeals before this or any other Texas appellate court by court, docket number, and style. HOU05:76691.1 -4American LegalNet, Inc. www.USCourtForms.com VII. Any other information requested by the court (see attachments, if any). VIII. Signature: __________________________________________________ Signature of counsel (or pro se party) Date: _________________________ State Bar No.:___________________ Printed Name: _____________________________________ IX. Certificate of Service: The undersigned counsel certifies that this docketing statement has been served on the following lead counsel for all parties to the trial court’s order or judgment as follows on ______________________, 19____. ________________________________________ Signature (TRAP 9.5(e) requirements stated below; use additional sheets, if necessary) HOU05:76691.1 -5American LegalNet, Inc. www.USCourtForms.com Note: Certificate of Service Requirements (TRAP 9.5(e)): A certificate of service must be signed by the person who made the service and must state: (1) (2) (3) HOU05:76691.1 the date and manner of service; the name and address of each person served; and if the person served is a party’s attorney, the name of the party represented by that attorney. -6American LegalNet, Inc. www.USCourtForms.com