Fill and Sign the In the Supreme Court of the State of Delaware Appellant V Form

IN THE SUPREME COURT OF THE STATE OF DELAWARE [1] ________________________, [2]_________________ Below, Appellant, v. [3]__________________________________, [4]__________________ Below, Appellee. No. [5]____________, _____ NOTICE OF APPEAL FROM INTERLOCUTORY ORDER To: [6]______________________________ PLEASE TAKE NOTICE that [1]_________________________________________ hereby petitions this Court to accept an appeal from an interlocutory order of the [7]__________________________ and represents as follows: (1) The interlocutory order was entered on [8]______________________________; (2) Application for certification was filed in the trial court on [9]_______________________________; (3) Response by appellee was filed in the trial court on [10] ___________. (4) The action of the trial court with respect to such application was as follows: [11] ________________________________________________________. -2- The name and address of the attorney for appellee is as follows: [6] _____________________________________________________. The party(ies) against whom the appeal is taken is (are) [3] ___________________________________________________. Dated: __________________________________ [12]____________________________________________ Attorney for [1]_____________________________ [2]______________________ Below-Appellant Instructions for Insertions: [1] Appellant's name. [2] Appellant's lower court status. [3] Appellee's name. [4] Appellee's lower court status. [5] Leave blank. The Supreme Court Clerk's Office will assign an appeal number upon receipt of the notice of appeal. [6] Name and address of the appellee's counsel. [7] Trial court. [8] Date of the interlocutory decision (attach a copy). [9] Date that application for certification was filed in the trial court [10] Date that response to the application for certification was filed by the appellee. -3- [11] Action by trial court, if any, on the application for certification. [12] Name, address, telephone number and Delaware Bar ID number of the appellant's counsel.