Fill and Sign the Notice Appeal Order Form

IN THE SUPREME COURT OF THE STATE OF DELAWARE (1) , : No. (5) (2) Below, : Appellant, : v. : : (3) , : (4) Below, : Appellee. : 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) Court 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) The name and address of the attorney for appellee is as follows: (6) The party(ies) against whom the appeal is taken is (are) (6) Dated: _______________ _____________________________________ (12) Attorney for (1) Insertions to Official Form M: [1] Appellant's name. [2] Appellant's status in lower court. [3] Appellee's name. [4] Appellee's status in lower court. [5] Leave blank. Supreme Court Clerk's Office will assign an appeal number. [6] Name and address of counsel for the appellee. [7] Trial court. [8] Date of interlocutory order. Attach a copy of the order. [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. [11] Action by trial court, if any, on the application for certification. [12] Name, address, telephone number and Delaware Bar ID number of appellant's counsel. (Amended, effective May 1, 1981; May 1, 1986; Feb.23, 1987; Apr. 6, 1999.)