Fill and Sign the App 107 Form

Fill out this form and make a copy of the completed form for your records and for each of the othe r parties . Abandonment of Appeal (Limited Civil Case) APP-107 Abandonment of Appeal (Limited Civil Case) Page 1 of 2 Rev. July 1, 2010, Optional Form Cal. Rules of Cou rt, rule 8.825 Instructions Take or mail the completed form and pr oof of service on the other parties to the appellate division clerk’s office . It is a good idea to take or mail an extra copy to the clerk and ask the clerk to stamp it to show that the original has be en file d. Before you fill out this form, read Information on Appeal Procedures for Limi ted Civil Cases (fo rm APP-10 1-INFO) to kn ow yo ur rights an d responsibilities. You can ge t form APP-101-INFO at any courthouse or This form is only for abandoni ng (giving up) an appeal in a li mit ed civi l case. • • • • Serve a copy of the completed form on each of the other partie s and keep proof of this service . You can get in formation about how to serve court pa pers an d pro of of service fro m What Is Proof of Service ? (form APP-109- • Cler k stam ps date here when form is filed. You fill in the name and street address of the court that issued the judgment or order you are appealing: Su peri or Co urt of C aliforn ia, Coun ty o f Tria l Court Cas e Numbe r: You fill in the appellate division case number (if you know it): Appe llate Division Cas e Nu mber : You fill in the number and name of the tr ial court case in which you are appealing th e judgment or order: Tria l Court Cas e Na me: You r Inf orm at ion 1 Street City St ate Zip Phone: E-ma il (optional): ( ) Street City S tate Zip Street address: Mailing addres s (if diff erent): Appe llant’s c ontac t information (skip this if the appellant has a lawyer for this appe al): b. Name of appellant (the par ty who filed this appeal): a. Fax (optional): E-ma il (optional): State Ba r nu mber: Na me: Phone: ( ) ( ) Street address: Mailing addres s (if diff erent): Street City State Zip Stree t City S tate Zip Appe llant’s lawyer (skip this if the appellant does not have a lawyer for this appe al): c. APP- 107 Judicia l Cou ncil of Cali fornia INFO) . county law library. Page 2 of 2 Abandonment of Appeal (Limited Civil Case) 2 On (fill in the date) trial court case identified in the box on page 1 of this form. 3 By signing and filing this form, I abandon/my client abandons that appeal. Date: Signature of appellant or attorney Type or print your name ` , I/my client filed a notice of appeal in the Appellate Division Case Name: Appellate Division Case Number: Rev. July 1, 2010 APP-107