_______ - _______________ 

Criminal Appeal Number 

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NOTICE OF INSUFFICIENT 
FINANCIAL ARRANGEMENT – CRIMINAL 
See Rule 10(c) of the Alabama Rules of appellate Procedure (A.R.App.P) 

tate of Alabama  

Unified Judicial System 

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TO BE COMPLETED BY THE COURT REPORTER ON THE DATE THE REPORTER’S TRANSCRIPT ORDER IS RECEIVED IF THE APPELLANT HAS NOT MADE 
SATISFACTORY FINANCIAL ARRANGEMENTS FOR PREPARING THE TRANSCRIPT. 

□ CIRCUIT COURT    □ DISTRICT COURT   □ JUVENILE COURT OF _______________________________________________________ COUNTY 
____________________________________________________________________________________________________________, Appellant 
V.    □ STATE OF ALABAMA            □ MUNICIPALITY OF ______________________________________________________________________ 
 

Case Number 
 

Date of Notice of Appeal 

Oral: 

 

 

 

Written: 

Estimated Number of Pages of Transcript 

Date of Judgment/Sentence/Order 

Date Reporter’s Transcript Order Received 

Estimated Cost 

 

 CERTIFY THAT AS OF THIS DATE SATISFACTORY FINANCIAL ARRANGEMENTS HAVE NOT BEEN MADE WITH ME FOR PREPARATION OF A TRANSCRIPT 
OF  THOSE  PROCEEDINGS  THAT  WERE  REPORTED  BY  ME  AND  DESIGNATED  BY  THE  APPELLANT  FOR  INCLUSION  IN  THE  RECORD  ON  APPEAL.  I  ALSO 
CERTIFY THAT THE APPELLANT IS NOT ENTITLED TO A FREE TRANSCRIPT FOR PURPOSES OF APPEAL IN THAT (1)HE HAD RETAINED COUNSEL AT TRIAL 
AND  THE  TRIAL  COURT  HAS  NOT  GRANTED  THE  APPELLANT  PERMISSION  TO  PROCEED  ON  APPEAL  IN  FORMA  PAUPERIS,  OR  (2)    IF  THE  APPELLANT 
PROCEEDED AT TRIAL AS AN INDIGENT, THAT STATUS WAS REVOKED ON ____________________________________________ BY THE TRIAL COURT. I 
FURTHER CERTIFY THAT I AM DISTRIBUTING THIS FORM AS SET OUT BELOW. 

_____________________________________________________  __________________________________________       _____________________________________________________ 

Signature 

 

 

 

 

   Date 

 

 

 

       Print or Type Name 

ISTRIBUTION : 

 

Original filed with the Clerk of the Court of Criminal Appeals and copies mailed to:  (1) the Appellant, and (2) the Attorney General 
or the Municipal prosecutor in lieu of the Attorney General if the appeal is from a municipal conviction. 

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