Notice Of Appeal Page 2

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INFORMATION SHEET
TO BE COMPLETED BY ATTORNEY FOR APPELLANT
1.
Defendant’s Address:
2.
Date of Verdict:
9 Jury 9 Non-Jury
Offenses:
Trial Testimony - Number of Days
Bail Status
3.
Sentence and Date Imposed:
4.
Appealing:
Sentence 9
Conviction 9
Both 9
Challenging:
9 Application of Sentencing Guidelines
9 Constitutionality of Guidelines
9 Both Application and Constitutionality
5.
Date Trial Transcript ordered by Counsel or District Court:
Stenographer in Charge:
(Name, Address, Phone)
6.
Trial Counsel was:
9 Appointed
9 Retained
Does Defendant’s financial status warrant appointment of counsel
on appeal?
9 Yes
9 No
Affidavit of Financial Status filed:
Is there any reason why trial counsel should not be appointed as
counsel on appeal?
9 Yes
9 No
7.
Assistant U.S. Attorney Name & Phone Number: _
_________________________
COURT REPORTER ACKNOWLEDGMENT
Date Order Received
Estimated Completion Date
Est Number of Pages
Court Reporter’s Signature
Date
February 21, 2008
2

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