Fill and Sign the Notice Appeal Form Colorado

JDF 222 R8-17 NOTICE OF APPEAL AND DESIGNATION OF RECORD – CRIMINAL © 2017 Colorado Judicial Department for use in the Courts of Colorado  County Court  District Court _____________ ____ __________ County, Colorado Court Address: State of Colorado/Appellee: v. Defendant /Appellant : COURT USE ONLY Attorney or Party W ithout Attorney (Name and Address): Phone Number: E-mail: FAX Number: Atty. Reg. #: Case Number: Division Courtroom NOTICE OF APPEAL AND DESIGNATION OF RECORD - CRIMINAL The Defendant her eby files an appeal in ______ ___ _________ _____ (County Court case number) for the following reason (s) : ____________________________________________________________________________________________________ _____________________________________________________________________________________ _______________  At this time, I request a stay of execution. I understand that as a condition of the stay of execution, I may be required to post a bond or deposit the amount of fines and costs assessed. Current information about the Appellant /Defendan t: Full Name: __________________________________________________________________________ _____________ ____ Mailing Address: _________________________________________City & Zip: __________________________ _________ __ Home Phone #: ______________ ___ ______ Work Phone #: _____ ___ ______________ Cell #: ______________ _______ ___ Designation of Record: The clerk of court will prepare the record on appeal, pursuant to Rule 37, Rules of C riminal Procedure and will include the following items : The county court ca se file, including all pleadings, motions, reports, exhibits, orders of the court, and jury instructions, if applicable. The original transcript : (identify proceedings) . ____________________________________________________________________________________ ________________ ____________________________________________________________________________________________________  By checking this box, I am acknowledging I am filling in the blanks and not changing anything else on the form.  By checking this box, I am acknowledging that I have made a change to the original content of this form. (Checking this box requires you to remove JDF number and copyright at the bottom of the form.) Date: _____________________________________ ___________________________ _________ __ ____ ______________________________________ ________ ___ Signature of Defendant/ Appellant Signature of Attorney for Defendant/ Appellant, if applicable CERTIFICATE OF SERVICE I certify that on _______________________ (date) an original was filed with the Court and that a true and accurate copy of th is NOTICE OF APPEAL /DESIGNATION OF RECORD - CRIMINAL was provided to other party by: Hand Delivery or Faxed to this number ____________________ or by placing it in the United St ates mail, postage pre - paid, and addressed to the following: To: ___________________________________ ___________________________________ ___________________________________________ ________________________ ___________ Signature