Fill and Sign the Noticeofappeal Formdoc

NOTICE OF APPEAL FROM TRIAL COURT (Rule 5A:6) VIRGINIA: IN THE CIRCUIT COURT OF _____________________ (The style of the case in the Circuit Court shall be used.) NOTICE OF APPEAL ____________________________, __________________________________________\ __ (name(s) of party(ies) (plaintiff, defendant or other ________________________________ hereby appeals to the Court of Appeals \ of designation in trial court) Virginia from the ______________________________________________________\ ____ (final judgment or other appealable order or decree) of this Court entered on ________________. (date) [If applicable] A transcript or statement of facts, testimony, and oth\ er incidents of the case will be filed. CERTIFICATE The undersigned certifies as follows: (1) The name(s) and address(es) of appellant(s) are: (2) The name(s), address(es), and telephone number(s) of counsel for appellant(s) are: (3) The name(s) and address(es) of appellee(s) are: (4) The name(s), address(es), and telephone number(s) of counsel for appellee(s) are: (5) [If applicable] Counsel for appellant has ordered from the court reporter who reported the case the transcript for filing as required by Rule 5A:8(a). (6) [If applicable] __________________________, ______________________\ ______ (name of party) (appellant) _______________________, is not represented by counsel. _______________\ ____ (appellee) (his) (her) address and telephone number are: (7) [In criminal cases only] counsel for defendant has been __________\ __________ __________________________________. (appointed) (privately retained) (8) A copy of the Notice of Appeal has been maile d or delivered to all opposing counsel [and/or to unrepresented parties, if applicable] and to th e Clerk of the Court of Appeals this _____ day of _______________, 19__. ________________________________________ (Signature of counsel or unrepresented party)