Fill and Sign the Jc 148 Rev Form

PARENTAL CONSENT NOTICE OF APPEAL CASE NUMBER:___________________IN THE COURT OF COUNTY, NEBRASKA District Court, Separate Juvenile Court or County Court sitting as a Juvenile Court) IN THE MATTER OF THE PETITION OF: Name: NOTICE OF APPEAL CONFIDENTIAL I, THE PETITIONER in the above-entitled action, am dissatisfied with the order of the court dismissing my petition for waiver of parental consent and file this notice of appeal to the Nebraska Supreme Court. The Order of Dismissal was entered on . PRAECIPE To: Court reporter or courtroom clerk: Please prepare a bill of exceptions containing all testimony and evidence given in this matter and file it with the clerk of the trial court. The bill of exceptions shall be filed with the clerk of the trial court, who must file it with the clerk of the Supreme Court within four business days, but in no event later than seven calendar days, from the date of filing this notice of appeal. To: Clerk of the court: Please prepare a transcript containing all documents filed in this matter. The transcript and the bill of exceptions must be filed with the clerk of the Nebraska Supreme Court within four business days, but in no event later than seven calendar days, from the date of the filing of this notice of appeal. Date Petitioner Signature Petitioner Name Street Address/P.O. Box City/State/ZIP Code Attorney Name, Bar Number, and Firm Name (attorneys only) Phone E-mail Address Page 1 of 1 Parental Consent Notice of Appeal JC 14:8 Rev. 02/19 Pursuant to Neb. Rev. Stat. Sec. 71-6904(3) this document shall be made available in each courthouse in such a place that members of the public may obtain it without requesting it from the clerk of the court or other court personnel.N ebraska State Court Form REQUIRED. JC 14:8 Rev. 02/19 Neb. Rev. Stat. § 71-6904