Appellant Checklist Template (Page 2 of 3) in pdf

Municipal Court

County Court

District Court

____________________________________County, Colorado

Court Address:

City of Colorado Springs Municipal Court/Appellee:

 COURT USE ONLY 

Defendant/Appellant:

Attorney or Party Without Attorney (Name and Address):

Case Number:

Phone Number:

E-mail:

FAX Number:

Atty Reg. #:

Division:

Courtroom:

NOTICE OF APPEAL AND DESIGNATION OF RECORD - CRIMINAL

The Defendant hereby files an appeal in _________________________(Municipal Court case number) for the following

reason(s):

___________________________________________________________________________________________________

At this time, I request a stay of execution. I understand that as a condition of the stay of execution, I may be required to

post a bond or deposit in the amount of fines and costs assessed.

Current Information about the Appellant/Defendant:

Full Name: ________________________________________________________________________________________

Mailing Address: ___________________________________________________________________________________

City & Zip: ________________________________________________________________________________________

Home Phone #: _______________________Work Phone # ______________________Cell #: ______________________

Designation of Record:

The clerk of court will prepare the record on appeal, pursuant to Rule 37, Rules of Criminal Procedure and will include the

following items:

The Municipal Court case file, including all pleadings, motions, reports, exhibits, orders of the court, and jury

instructions, if applicable.

The original transcript: (identify proceedings)

___________________________________________________________________________________________________

Date: _______________________________

_______________________________________

Signature of Defendant/Appellant

Signature of Attorney for Defendant/Appellant, if applicable

CERTIFICATE OF SERVICE

I certify that on ____________________(date) an original was filed with the Court and that a true and accurate copy of this

NOTICE OF APPEAL/DESIGNATION OF RECORD – CRIMINAL was provided to other party by:

Hand Delivery or

Faxed to this number ____________________ or

by placing it in the United States mail,

postage pre-paid, and adddressed to the following:

To: ________________________________

________________________________

_________________________________

(Your signature)

MUNICIPAL COURT NOTICE OF APPEAL AND DESIGNATION OF RECORD - CRIMINAL

Appellant Checklist Template Page 2

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