KITSAP COUNTY DISTRICT COURT, STATE OF WASHINGTON __________________________________________, Plaintiff, vs. __________________________________________, Defendant. DISTRICT COURT NO. SUPERIOR COURT NO. NOTICE OF APPEAL TO SUPERIOR COURT – DE NOVO A. The appellant ______________________________, the named plaintiff defendant above, seeks review by the Superior Court of the Kitsap county District Court’s decision in cause number ____________________, entered ____________________. (Date) B. Designation of claimed error(s): _________________________________________________________________________________ _________________________________________________________________________________ DATED: ____________________________ ___________________________________ Plaintiff’s Signature Print Name: _________________________ ______________________________________ Defendant’s Signature Print Name: ____________________________ ___________________________________ ______________________________________ (Address) (Address) ___________________________________ ______________________________________ (City) (City) (State) (Zip) (State) (Zip) (_______) __________________________ (_______) _____________________________ (Telephone/Message Number) (Telephone/Message Number) ___________________________________ Plaintiff’s Attorney Print Name: _________________________ ______________________________________ Defendant’s Attorney Print Name: ____________________________ ___________________________________ ______________________________________ (Address) (Address) ___________________________________ ______________________________________ (City) (City) (State) (Zip) (State) (Zip) (_______) __________________________ (_______) _____________________________ (Telephone/Message Number) (Telephone/Message Number) Revised 7/09/10 American LegalNet, Inc. www.FormsWorkFlow.com