Notice Of Appeal - Criminal
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1Criminal Notice of Appeal - Form A
NOTICE OF APPEAL
United States District Court
_______________ District of _______________
Caption:
__________ ________________________ v.
Docket No.
: ___________________________________
__________________________________
___________________________________
(District Court Judge)
Notice is hereby given that
appeals to the United States Court of
_________________________________________________
Appeals for the Second Circuit from the judgment
other
[____],
[____] ____________________________________________________
(specify)
entered in this action on
_________________________.
(date)
This appeal concerns: Conviction only [___] Sentence only [___] Conviction & Sentence [___] Other [___]
Defendant found guilty by plea [___] trial [___] N/A [___].
Offense occurred after November 1, 1987? Yes [___] No [___] N/A [___]
Date of sentence: __________________________ N/A [___]
Bail/Jail Disposition: Committed [___] Not committed [___] N/A [___]
Appellant is represented by counsel? Yes [___] No [___] If yes, provide the following information:
Defendant’s Counsel:
_____________________________________________________________
Counsel’s Address:
_____________________________________________________________
_____________________________________________________________
Counsel’s Phone:
_____________________________________________________________
Assistant U.S. Attorney:
_____________________________________________________________
AUSA’s Address:
_____________________________________________________________
_____________________________________________________________
AUSA’s Phone:
_____________________________________________________________
_______________________________________________________
Signature
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