Fill and Sign the Respondents Appellate Case Information Statement David Perry Davis

Appendix VII Revised effective : 09/01/2016, CN 10500 (Appellate Civil CIS) page 1 of 2 New Jersey Judiciary Superior Court - Appellate Division Civil Case Information Statement Please type or clearly print all information. Title in Full Trial Court or Agency Docket Number ● Attach additional s heets as necessary for any information below. Appellant’s Attorney Email Address: Plaintiff Defendant Other (Specify) Name Client Street Address City State Zip Telephone Number Respondent’s Attorney * Email Address: Name Client Street Address City State Zip Telephone Number * Indicate which parties, if any, did not participate below or wer e no longer parties to the action at the time of entry of the judgment or decision being appealed. Give Date and Summary of Judgment, Order, or Decision Being Appealed and Attach a Copy: Are there any claims against any party below, e ither in this or a consolidated action, which have not been disposed of, including counterclaims, cross - claims, third - party claims and applications for counsel fees? Yes No If so, has the order been properly certified a s final pursuant to R. 4:42 - 2? (If not, leave to appeal must be sought. R. 2:2 - 4,2:5 - 6) Yes No (If the order has been certified, attach, together with a copy of the order, a copy of the complaint or any other relevant pleadings and a brief explanation as to why the order qualified for certification pursuant to R. 4:42 - 2.) Were any claims dismissed without prejudice? Yes No If so, explain and indicate any agreement between the par ties concerning future disposition of those claims. Is the validity of a statute, regulation, executive order, franchise or constitutional provision of this State being questioned? ( R. 2:5 - 1(h)) Yes No Give a Brief Statement of the Facts and Procedural History: Revised effective : 09/01/2016, CN 10500 (Appellate Civil CIS) page 2 of 2 To the extent possible, list the proposed issues to be raised on the appeal as they will be described in appropriate point headings pursuant to R. 2:6 - 2(a)(6) . (Appellant or cross - appellant only.): If you are appealing from a judgment entered by a trial judge sitting without a jury or from an order of the trial court, complete the following: 1. Did the trial judge issue o ral findings or an opinion? If so, on what date? Yes No 2. Did the trial judge issue written findings or an opinion? If so, on what date? Yes No 3. Will the trial judge be filing a statement or an opini on pursuant to R. 2:5 - 1(b)? Yes No Caution: Before you indicate that there was neither findings nor an opinion, you should inquire of the trial judge to determine whether findings or an opinion was placed on the record out of counsel’s presence or whether the judge will be filing a statement or opinion pursuant to R. 2:5 - 1(b). Date of Your Inquiry: 1. Is there any appeal now pending or about to be brought before this court which: (A) Arises from substantially the same case or controversy as this appeal? Yes No (B) Involves an issue that is substantiall y the same, similar or related to an issue in this appeal? Yes No 2. Was there any prior appeal involving this case or controversy? Yes No If the an swer to either 1 or 2 above is Y es , state: Case Name: Appellate Division Docket Number: Civil appeals are screened for submission to the Civil Appeals Settlement Program (CASP) to determine their potential for settlement or, in the alternative, a simplification of the issue s and any other matters that may aid in the disposition or handling of the appeal. Please consider these when responding to the following question. A negative response will not necessarily rule out the scheduling of a preargument conference. State whether you think this case may benefit from a CASP conference. Yes No Explain your answer: Whether or not an opinion is approved for publication in the official Court Reporter books, the Judiciary posts a ll Appellate Division opinions on the Internet. I certify that confidential personal identifiers have been redacted from documents now submitted to the court, and will be redacted from all documents submitted in the future in accordance with Rule 1:38 - 7(b ). Name of Appellant or Respondent Name of Counsel of Record (or your name if not represented by counsel) Date Signature of Counsel of Record (or your signature if not represented by counsel)