State Court Notice of Appeal
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NOTICE OF APPEAL

(State of Indiana — [County] Circuit/Superior Court)

1. CAPTION

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IN THE [CIRCUIT/SUPERIOR] COURT OF [COUNTY_NAME] COUNTY
STATE OF INDIANA

[PLAINTIFF_NAME],
Plaintiff,

v. Cause No. [TRIAL_CAUSE_NUMBER]

[DEFENDANT_NAME],
Defendant.

Attorney Information

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[ATTORNEY_NAME] (Atty. No. [ATTORNEY_NUMBER])
[LAW_FIRM_NAME]
[ADDRESS]
[City], Indiana [ZIP]
Phone: [PHONE] | Fax: [FAX]
Email: [EMAIL]
Attorney for Appellant [CLIENT_NAME]

2. APPELLATE TRIBUNAL

Appellant designates the [Indiana Court of Appeals / Indiana Supreme Court] as the court to which this appeal is taken.

3. NOTICE OF APPEAL

Pursuant to Indiana Appellate Rule 9, notice is hereby given that [CLIENT_NAME], [trial court role], appeals from the judgment/order entered on [JUDGMENT_DATE] by the [CIRCUIT/SUPERIOR] Court of [COUNTY_NAME] County, the Honorable [JUDGE_NAME] presiding. The judgment [brief description] and is appealable under App. R. 2(H) and [authority].

4. TIMELINESS AND POST-JUDGMENT MOTIONS

  • Date judgment entered: [JUDGMENT_DATE]
  • Date notice of entry served: [SERVICE_DATE]
  • Tolling motions (Trial Rule 50, 52, 59, etc.) filed: [DETAILS]
  • This Notice filed on [FILING_DATE] within the time required by App. R. 9(A).

5. ISSUES ON APPEAL (SUMMARY)

  1. [ISSUE_ONE]
  2. [ISSUE_TWO]
  3. [ISSUE_THREE]

6. TRANSCRIPT AND RECORD (App. R. 10 & 11)

Appellant will request the transcript from [COURT_REPORTER] covering proceedings on [HEARING_DATES] within 30 days and will serve the Notice of Transcript Request per App. R. 11. Appellant also requests the clerk to assemble the Clerk’s Record pursuant to App. R. 10.

7. APPEARANCE OF COUNSEL

Appellant’s counsel certifies continued representation in the appeal and will file the Appellate Appearance form pursuant to App. R. 16.

8. CERTIFICATION REGARDING SETTLEMENT

[// If appeal is from an agreed judgment or settlement, include compliance statement per App. R. 9(F)(9).]
Appellant certifies that this appeal [does / does not] arise from a case resolved by settlement agreement. Details: [DETAILS].

9. RELIEF REQUESTED

Appellant seeks reversal, modification, or remand of the judgment/order and any other relief deemed just, including appellate costs under App. R. 67.

10. SIGNATURE BLOCK

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Date: [DATE]


[ATTORNEY_NAME]
Attorney for Appellant [CLIENT_NAME]

11. CERTIFICATE OF SERVICE (App. R. 24)

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I certify that on [SERVICE_DATE] I served the foregoing NOTICE OF APPEAL through the Indiana E-Filing System and/or by ☐ Email ☐ U.S. Mail ☐ Hand Delivery to:

☐ [NAME], Counsel for [PARTY], [EMAIL/ADDRESS]
☐ Clerk of the [COUNTY_NAME] [CIRCUIT/SUPERIOR] Court
☐ Court Reporter [REPORTER_NAME]


[SERVER_NAME]

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