Notice Of Appeal And Designation Of Record - Criminal Template
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1County Court
District Court
___________________________ County, Colorado
Court Address:
State of Colorado/Appellee:
v.
COURT USE ONLY
Defendant/Appellant:
Attorney or Party Without Attorney (Name and Address):
Case Number:
Phone Number:
E-mail:
Division
Courtroom
FAX Number:
Atty. Reg. #:
NOTICE OF APPEAL AND DESIGNATION OF RECORD - CRIMINAL
The Defendant hereby files an appeal in _______________________ (County 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 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 county 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 addressed to the following:
To: ___________________________________
___________________________________
___________________________________
(Your signature)
JDF 222
2/05
NOTICE OF APPEAL AND DESIGNATION OF RECORD - CRIMINAL
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