REV. 1/2016

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TRANSMITTAL OF APPEAL TO THE ALABAMA COURT OF CRIMINAL 
APPEALS  BY THE TRIAL COURT CLERK 
V.

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APPELLANT’S NAME 
(as it appears on the Indictment)

APPELLEE     

             CIRCUIT 
CIRCUIT/DISTRICT/JUVENILE JUDGE: __________________________________________ 

     JUVENILE COURT OF ______________________________ COUNTY 

 DISTRICT 

DATE OF NOTICE OF APPEAL:  

________________________________________  
(NOTE:  If  the  appellant  is  incarcerated  and  files  notice of  appeal,  this  date  should  be  the  date  on  the  certificate  
of service, or if there was no certificate of service, use the postmark date on the envelope.)

INDIGENCY STATUS:

Granted Indigency Status at Trial Court 
Appointed Trial Counsel Permitted to Withdraw on Appeal: 
Indigent Status Revoked on Appeal: 

DEATH PENALTY:

       Yes
       Yes
       Yes

No 
No 
No.

No. 

Does the appeal Involve a case where the death penalty has been imposed? 

   Yes

TYPE OF APPEAL: (Please check the appropriate block) 

□ State Conviction
□ Rule 32 Petition
□ Probation Revocation
□ Mandamus Petition

□ Pretrial Appeal by State
□ Contempt Adjudication
□ Municipal Conviction
□ Writ of Certiorari

□ Juvenile Transfer Order
□ Juvenile Delinquency
□ Habeas Corpus Petition
□ Other (Specify)________________________

IF THIS APPEAL IS  FROM AN ORDER DENYING A PETITION (I.E, RULE 32 PETITION, WRIT OF HABEAS CORPUS, ETC.) OR 
FROM ANY OTHER ORDER ISSUED BY THE TRIAL JUDGE, COMPLETE THE FOLLOWING: 

TRIAL COURT CASE NO.:_____________________________________ 

DATE ORDER WAS ENTERED:_________________________________ 

PETITION: □ Dismissed  □ Denied    □ Granted 

IF THIS IS AN APPEAL FROM A CONVICTION, COMPLETE THE FOLLOWING: 

DATE OF CONVICTION:________________________________       DATE OF SENTENCE: __________________________ 

YOUTHFUL OFFENDER STATUS: 

Requested:    □ Yes □ No  

 

Granted:  □Yes  □ No

LIST EACH CONVICTION BELOW:  (attach additional page if necessary)
1.

2.

3.

CONVICTION:_____________________________________ 
Trial Court Case No. ____________________
Sentence: __________________________________________________________________________________________________
Trial Court Case No. ____________________
CONVICTION:_____________________________________ 
Sentence: __________________________________________________________________________________________________
Trial Court Case No. ____________________
CONVICTION:_____________________________________ 
Sentence: __________________________________________________________________________________________________

POST-JUDGMENT MOTIONS FILED: (complete as appropriate) 
□ Motion for New Trial ………………………………………………… 
□ Motion for Judgment of Acquittal……………………………………. 
□ Motion to Withdraw Guilty Plea ….………………………………….. 
□ Motion in Arrest of Judgment …...…………………………………… 
□ Other_____________________ ……………………………………… 

Date Filed 
__________ 
__________ 
__________ 
__________ 
__________ 

Date Denied 
__________ 
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__________ 
__________ 
__________ 

Continued by Agreement To(Date) 
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AIS#_____________________________________________________________________ 
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COURT REPORTER (S) ……………… 
ADDRESS: …………………………….. 

APPELLATE COUNSEL:……………… 
ADDRESS: …………………………….. 

APPELLANT: (IF PRO SE)…………… 
ADDRESS: …………………………….. 

APPELLEE (IF CITY APPEAL)…. 
ADDRESS: …………………………….. 

I certify that the information provided above is accurate and  
to the best of my knowledge and I have served a copy of this 
Notice of Appeal on all parties to this action on  
this _________ day of _______________, __________. 

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CIRCUIT COURT CLERK