Notice Of Intent To Appeal Family
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1
2Form 1
N
I
A
F
OTICE OF
NTENT TO
PPEAL
AMILY
C
F
O
OURT
INAL
RDER
AND
W
R
A
AIVER OF
IGHT TO
PPEAL TO
C
C
IRCUIT
OURT
County
S
W
V
TATE OF
EST
IRGINIA
Case Number
Family Court Judge
Final Order Date
In Re: Marriage/Children of:
Name of Petitioner
Name of Respondent
Address:
Address:
Daytime Phone:
Daytime Phone:
I, ____________________________________________, hereby give notice of my intent to file
an appeal from the final order of the family court directly to the Supreme Court of Appeals, and
for this purpose hereby waive my right to file a petition for appeal with the circuit court.
I further acknowledge that if both parties do not file a timely Notice and Waiver, any
petition filed will be treated as a petition for appeal to the circuit court.
_____________________________
___________________
Signature
Date
1
FCA Form 1
Confidentiality Notice: This document
is not available for public inspection.
Dec. 2001
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