State Court Notice of Appeal
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NOTICE OF APPEAL

(Commonwealth of Virginia — Circuit Court)

1. CAPTION

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IN THE CIRCUIT COURT OF [CITY/COUNTY_NAME], VIRGINIA
Case No. [CASE_NUMBER]

[PLAINTIFF_NAME],
Plaintiff,

v.

[DEFENDANT_NAME],
Defendant.

Attorney Information

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

2. NOTICE OF APPEAL

[CLIENT_NAME], [trial court role], hereby gives notice of appeal to the [Court of Appeals of Virginia / Supreme Court of Virginia] from the final judgment/order entered on [JUDGMENT_DATE] by the Honorable [JUDGE_NAME]. The judgment [brief description] and is appealable pursuant to Va. Code § [8.01-670 / 17.1-405].

3. TIMELINESS

This notice is filed within 30 days of the entry of judgment as required by Rule [5A:6(a) / 5:9(a)]. Any post-trial motions affecting the finality of the judgment were [filed/not filed] and resolved on [DATE].

4. TRANSCRIPT / STATEMENT OF FACTS

Appellant [has ordered/will order] a transcript of proceedings held on [HEARING_DATES] from [COURT_REPORTER] within 10 days per Rule 5A:8(a), or will file a written statement of facts within 55 days. The transcript/statement will be filed in the circuit court within the applicable deadlines.

5. APPELLATE BOND AND DOCKETING STATEMENT

Appellant [has posted/will post] any required appeal bond pursuant to Va. Code § 8.01-676.1 and will file the docketing statement with the appellate court within 10 days as required by Rule 5A:6(d).

6. RELIEF REQUESTED

Appellant requests reversal, modification, or remand of the judgment/order and such other relief as the appellate court deems appropriate, including costs.

7. SIGNATURE BLOCK

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Date: [DATE]


[ATTORNEY_NAME]
Counsel for Appellant [CLIENT_NAME]

8. CERTIFICATE OF SERVICE (Rule 5A:6(e))

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I certify that on [SERVICE_DATE], a true copy of this NOTICE OF APPEAL was mailed, delivered, or electronically served to:

☐ [NAME], Counsel for [PARTY], [ADDRESS/EMAIL]
☐ Clerk of the Circuit Court of [CITY/COUNTY_NAME], Virginia


[SERVER_NAME]

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