NOTICE OF APPEAL

(Circuit Court of the State of Oregon)

1. CAPTION

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IN THE CIRCUIT COURT OF THE STATE OF OREGON
FOR THE COUNTY OF [COUNTY_NAME]
Case No. [CASE_NUMBER]

[PLAINTIFF_NAME],
Plaintiff,

v.

[DEFENDANT_NAME],
Defendant.

Attorney Information

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[ATTORNEY_NAME] (OSB No. [BAR_NUMBER])
[LAW_FIRM_NAME]
[ADDRESS]
[City], Oregon [ZIP]
Telephone: [PHONE] | Facsimile: [FAX]
Email: [EMAIL]
Attorney for Appellant [CLIENT_NAME]

2. NOTICE OF APPEAL

Pursuant to ORS chapter 19 and ORAP 2.05, [CLIENT_NAME], [trial court role], appeals to the [Oregon Court of Appeals / Oregon Supreme Court] from the judgment/order entered on [JUDGMENT_DATE] by the Honorable [JUDGE_NAME]. The judgment [brief description] and is appealable under ORS 19.205.

3. TIMELINESS AND POST-JUDGMENT MOTIONS

• Date judgment entered in register: [JUDGMENT_DATE]
• Date notice of entry served: [SERVICE_DATE]
• Tolling motions under ORS 19.255(2): [DETAILS]
• Date this notice filed: [FILING_DATE] (within 30 days pursuant to ORS 19.255(1)).

4. ISSUES INTENDED TO BE RAISED (SUMMARY)

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

5. DESIGNATION OF RECORD AND TRANSCRIPTS

Appellant has [filed/will file] a designation of record and request for transcript under ORAP 3.33 for proceedings held on [HEARING_DATES] before [COURT_REPORTER].

6. FEE STATUS AND STAY

Appellant has [paid the appellate filing fee / applied for waiver or deferral]. Any stay or supersedeas relief will be sought pursuant to ORS 19.330 and ORAP 7.05.

7. RELIEF REQUESTED

Appellant requests reversal, modification, or remand of the judgment/order and such other relief as the appellate court deems just, including costs and attorney fees as allowed by law.

8. SIGNATURE BLOCK

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DATED: [DATE]

[ATTORNEY_NAME]
Attorney for Appellant [CLIENT_NAME]

9. CERTIFICATE OF SERVICE (ORCP 9)

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I certify that on [SERVICE_DATE] I served this NOTICE OF APPEAL on the following by ☐ Oregon eFile ☐ First-Class Mail ☐ Hand Delivery ☐ Email (consent):

☐ [NAME], Counsel for [PARTY], [ADDRESS/EMAIL]
☐ Trial Court Administrator, [COUNTY_NAME] County Circuit Court

[SERVER_NAME]