NOTICE OF APPEAL

(State of Louisiana — [Judicial District] Judicial District Court)

1. CAPTION

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NO. [DOCKET_NUMBER] DIVISION “[DIVISION]”

[PLAINTIFF_NAME]
VERSUS
[DEFENDANT_NAME]

[PARISH_NAME] PARISH, LOUISIANA

Attorney Information

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[ATTORNEY_NAME] (La. Bar Roll No. [BAR_NUMBER])
[LAW_FIRM_NAME]
[ADDRESS]
[City], Louisiana [ZIP]
Telephone: [PHONE] | Facsimile: [FAX]
Email: [EMAIL]
Counsel for Appellant [CLIENT_NAME]

2. TYPE OF APPEAL

Appellant elects a ☐ Suspensive Appeal (La. C.C.P. art. 2123) ☐ Devolutive Appeal (La. C.C.P. art. 2087).

3. NOTICE OF APPEAL

NOW INTO COURT, through undersigned counsel, comes [CLIENT_NAME], [trial court role], who gives notice of intent to appeal to the [FIRST/SECOND/THIRD/FOURTH/FIFTH] Circuit Court of Appeal, State of Louisiana (or the Louisiana Supreme Court if applicable), from the judgment signed on [JUDGMENT_DATE] and notice of which was mailed on [NOTICE_DATE] by the Honorable [JUDGE_NAME]. The judgment [brief description] and is appealable under La. C.C.P. arts. 2081–2083.

4. RETURN DATE AND TRANSCRIPT REQUEST

Appellant prays that the Court set a return date in accordance with La. C.C.P. art. 2125 and orders the court reporter, [REPORTER_NAME], to prepare the transcript of proceedings held on [HEARING_DATES]. Estimated cost has been [paid/deposited] in the amount of $[AMOUNT], or pauper status has been requested.

5. SECURITY (IF SUSPENSIVE)

Appellant further prays that the Court fix the amount of the suspensive appeal bond pursuant to La. C.C.P. art. 2124 and grants [NUMBER] days from the signing of the order to furnish security.

6. RELIEF REQUESTED

Appellant requests that the appellate court reverse, vacate, or modify the referenced judgment/order and grant all general and equitable relief, including costs of appeal.

7. SIGNATURE BLOCK

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Respectfully submitted,

[ATTORNEY_NAME]
Counsel for Appellant [CLIENT_NAME]
La. Bar Roll No. [BAR_NUMBER]
Date: [DATE]

8. CERTIFICATE OF SERVICE (La. C.C.P. art. 1313)

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I hereby certify that a copy of the foregoing NOTICE OF APPEAL was served on [SERVICE_DATE] upon all counsel of record and the Clerk of Court for [PARISH_NAME] Parish by ☐ Louisiana e-filing ☐ Mail ☐ Hand Delivery ☐ Email (consented).

[SERVER_NAME]