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Here is the text we could read:

COURT OF APPEAL,

APPELLATE DISTRICT, DIVISION 

COURT OF APPEAL CASE NUMBER (if known):

TO BE FILED IN THE COURT OF APPEAL

APP-004

ATTORNEY OR PARTY WITHOUT ATTORNEY:

STATE BAR NUMBER:

FOR COURT USE ONLY

STATE:

ZIP CODE:

FAX NO.:

NAME:

FIRM NAME:

STREET ADDRESS:

CITY:

TELEPHONE NO.:

E-MAIL ADDRESS:

ATTORNEY FOR (name):

APPELLANT:

RESPONDENT:

MAILING ADDRESS:

CITY AND ZIP CODE:

BRANCH NAME:

JUDGES (all who 
participated in case):

SUPERIOR COURT OF CALIFORNIA, COUNTY OF
STREET ADDRESS:

CIVIL CASE INFORMATION STATEMENT

NOTE TO APPELLANT: You must file this form with the clerk of the Court of Appeal within 15 days after the clerk mails you 
the notification of the filing of the notice of appeal required under rule 8.100(e)(1). You must attach to this form a copy of the 
judgment or order being appealed that shows the date it was entered (see Cal. Rules of Court, rule 8.104 for definition of 
"entered"). A copy of this form must also be served on the other party or parties to this appeal. (CAUTION: An appeal in a 
limited civil case (Code Civ. Proc., § 85) may be taken ONLY to the appellate division of the superior court (Code Civ. Proc.,  
§ 904.2) or to the superior court (Code Civ. Proc., § 116.710 [small claims cases]).

SUPERIOR COURT CASE NUMBER:

PART I – APPEAL INFORMATION

1. APPEALABILITY 

a. Appeal is from:

judgment after jury trial.

judgment after court trial.

default judgment.

judgment after an order granting a summary judgment motion.

judgment of dismissal under Code Civ. Proc., § 581d, 583.250, 583.360, or 583.430.

judgment of dismissal after an order sustaining a demurrer.

an order after judgment under Code Civ. Proc., § 904.1(a)(2).

an order or judgment under Code Civ. Proc., § 904.1(a)(3)–(13).

Other (describe and specify code section that authorizes this appeal):

b. Does the judgment appealed from dispose of all causes of action, including all cross-actions between the parties?      

Yes

No (If no, please explain why the judgment is appealable):

2. TIMELINESS OF APPEAL (Provide all applicable dates.)
a. Date of entry of judgment or order appealed from:  
b. Date that notice of entry of judgment or a copy of the judgment was served by the clerk or by a party under California Rules of 

c. Was a motion for new trial, for judgment notwithstanding the verdict, for reconsideration, or to vacate the judgment made and     

Court, rule 8.104:  

denied?

Yes

No (If yes, please specify the type of motion):

Date notice of intention to move for new trial (if any) filed:

Date motion filed:

Date motion denied:

Date denial served: 

d. Date notice of        appeal or
3. BANKRUPTCY OR OTHER STAY

cross-appeal filed:  

Is there a related bankruptcy case or a court-ordered stay that affects this appeal? 
(If yes, please attach a copy of the bankruptcy petition [without attachments] and 
any stay order.)

Yes

No

Form Adopted for Mandatory Use 
Judicial Council of California 
APP-004 [Rev. January 1, 2021]

 CIVIL CASE INFORMATION STATEMENT 
(Appellate)

Page 1 of 4

www.courts.ca.gov

APPELLATE CASE TITLE:

APPELLATE COURT CASE NUMBER:

APP-004

4. APPELLATE CASE HISTORY (Provide additional information, if necessary, on attachment 4.) Is there now, or has there previously 

been, any appeal, writ, or other proceeding related to this case pending in any California appellate court?

Yes

No (If yes, insert name of appellate court):

Appellate court case no.: 

Name of trial court: 

5. SERVICE REQUIREMENTS

Title of case: 

Trial court case no.: 

Is service of documents in this matter, including a notice of appeal, petition, or brief, required on the Attorney General or other  
nonparty public officer or agency under California Rules of Court, rule 8.29 or a statute?

Yes

No (If yes, please  indicate the rule or statute that applies)

Rule 8.29 (e.g., constitutional challenge; state or county party)

Code Civ. Proc., § 1355 (Escheat)

Bus. & Prof. Code, §16750.2 (Antitrust)

Bus. & Prof. Code, § 17209 (Unfair Competition Act)

Gov. Code, § 946.6(d) (Actions against public entities)

Gov. Code, § 4461 (Disabled access to public buildings)

Bus. & Prof. Code, § 17536.5 (False advertising)

Gov. Code, § 12656(a) (False Claims Act)

Civ. Code, § 51.1 (Unruh, Ralph, or Bane Civil Rights  
Acts; antiboycott cause of action; sexual harassment in 
business or professional relations; civil rights action by 
district attorney)

Civ. Code, § 55.2 (Disabled access to public  
conveyances, accommodations, and housing)

Health & Saf. Code, § 19954.5 (Accessible seating and  
accommodations)
Health & Saf. Code, § 19959.5 (Disabled access to  
privately funded public accommodations)

Pub. Resources Code, § 21167.7 (CEQA)

Other  (specify statute):

NOTE: The rule and statutory provisions listed above require service of a copy of a party's notice of appeal, petition, or brief 
on the Attorney General or other public officer or agency. Other statutes requiring service on the Attorney General or other  
public officers or agencies may also apply. 

1. Nature of action (check all that apply):

PART lI – NATURE OF ACTION

(1)

Declaratory relief

(2)

Other (describe):

(1)

Title of real property (2)

Other (describe):

(2)
(4)

Product liability
Personal property

Conservatorship
Contract
Eminent domain
Equitable action
Family law
Guardianship
Probate
Real property rights
Tort

Medical malpractice
Other personal injury
Other tort (describe):

Trust proceedings
Writ proceedings in superior court

a.
b.
c.
d.
e.
f.
g.
h.
i.

j.
k.

l.

(1)
(3)
(5)

(1)
(3)

Mandate (Code Civ. Proc., § 1085)
Prohibition (Code Civ. Proc., § 1102)

(2)
(4)

Administrative mandate (Code Civ. Proc., § 1094.5)
Other  (describe):

Other action  (describe):

2.

This appeal is entitled to calendar preference/priority on appeal  (cite authority):

APP-004 [Rev. January 1, 2021]

Page 2 of 4

 CIVIL CASE INFORMATION STATEMENT 
(Appellate)

APPELLATE CASE TITLE:

APPELLATE COURT CASE NUMBER:

APP-004

PART  III – PARTY AND ATTORNEY  INFORMATION 

In the spaces below or on a separate page or pages, list all the parties and all their attorneys of record who will participate in the 
appeal. For each party, provide all of the information requested on the left side of the page. On the right side of the page, if a party is 
self-represented please check the appropriate box and provide the party's mailing address, telephone number, fax number, and e-
mail address. If a party is represented by an attorney, on the right side of the page, check the appropriate box and provide all of the 
requested information about that party's attorney.

Responses to Part III are attached instead of below

Name of Party:

Represented by attorney

Self-represented

Name of Party:

Represented by attorney

Self-represented

Name of Party:

Represented by attorney

Self-represented

Name of Party:

Represented by attorney

Self-represented

Name of attorney:
State Bar no:
Firm name:
Mailing address:

Telephone no.:
Email address:

Name of attorney:
State Bar no:
Firm name:
Mailing address:

Telephone no.:
Email address:

Name of attorney:
State Bar no:
Firm name:
Mailing address:

Telephone no.:
Email address:

Name of attorney:
State Bar no:
Firm name:
Mailing address:

Telephone no.:
Email address:

Fax no:

Fax no:

Fax no:

Fax no:

Appellate court designation:

Appellant

Respondent

Trial court designation:

Plaintiff

Defendant

Other (specify):

Appellate court designation:

Appellant

Respondent

Trial court designation:

Plaintiff

Defendant

Other (specify):

Appellate court designation:

Appellant

Respondent

Trial court designation:

Plaintiff

Defendant

Other (specify):

Appellate court designation:

Appellant

Respondent

Trial court designation:

Plaintiff

Defendant

Other (specify):

Additional pages attached

Date: 

This statement is prepared and submitted by:     

(SIGNATURE OF ATTORNEY OR SELF-REPRESENTED PARTY)

APP-004 [Rev. January 1, 2021]

 CIVIL CASE INFORMATION STATEMENT 
(Appellate)

Page 3 of 4

APPELLATE CASE TITLE:

APPELLATE COURT CASE NUMBER:

APP-004

NOTICE TO PARTIES: A copy of this form must be served on the other party or parties to this appeal. If served by mail or personal 
delivery, THE MAILING OR DELIVERY MUST BE PERFORMED BY SOMEONE WHO IS NOT A PARTY TO THE APPEAL. 
Electronic service is authorized only if ordered by the court or if the party served has agreed to accept electronic service. A person 
who is at least 18 years old must complete the information below and serve all pages of this document. When all pages of this 
document have been completed and a copy served, the original may then be filed with the court.

Mail  

PROOF OF SERVICE
Personal Service

Electronic Service

1. At the time of service I was at least 18 years of age.

2. My residence or business address is (specify):

3.

I mailed, personally delivered, or electronically served a copy of the Civil Case Information Statement (Appellate) as follows 
(complete a, b, or c):
a.            Mail. I am a resident of or employed in the county where the mailing occurred and am not a party to this legal action.

(1)

I enclosed a copy in an envelope and
(a)   

deposited the sealed envelope with the United States Postal Service, with the postage fully prepaid.

(b)            placed the envelope for collection and mailing on the date and at the place shown in items below, following our 

ordinary business practices. I am readily familiar with this business's practice for collecting and processing 
correspondence for mailing. On the same day that correspondence is placed for collection and mailing, it is 
deposited in the ordinary course of business with the United States Postal Service, in a sealed envelope with 
postage fully prepaid.  

(2) The envelope was addressed and mailed as follows:

(a)   Name of person served:
(b)            

Address on envelope:

b.            Personal delivery. I am not a party to this legal action. I personally delivered a copy as follows:

(c)    Date of mailing:
(d)            

Place of mailing (city and state):

(1) Name of person served:

(2) Address where delivered:

(3) Date delivered:
(4) Time delivered:

c.

Electronic service. 

My electronic service address is (specify):

I electronically served a copy as follows:
(1) Name of person served:
(2) Electronic service address of person served:
(3) On (date):

I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.

Date:

(TYPE OR PRINT NAME)

(SIGNATURE OF DECLARANT)

APP-004 [Rev. January 1, 2021]

Page 4 of 4

 CIVIL CASE INFORMATION STATEMENT 
(Appellate)

Civil Case Information Statement (Appellate)

This info page is part of the LIT Lab's Form Explorer project. It is not associated with the California state courts. To learn more about the project, check out our about page.

Downloads: You can download both the original form (last checked 2023-03) and the machine-processed form with normalized data fields.

About This Form:

Sourced from selfhelp.courts.ca.gov (2023-03)
Page(s): 4
Fields(s): 210
Average fields per page: 52
Reading Level: Grade 7
LIST Grouping(s): CO-00-00-00-00, CO-07-00-00-00.

Use our Rate My PDF tool to learn more. Go beyond the above insights and learn more about this or any pdf form at RateMyPDF.com, includes: counts of difficult words used, passive voice decetion, and suggestions for how to make the form more usable.

Identified Data Fields:

We have done our best to automaticly identify and name form fields according to our naming conventions. When possible, we've used names tied to our question library. See e.g., user1_name. If we think we've found a match to a question in our library, it is highlighted in green. Novel names are auto generated. So, you will probably need to edit some of them if you're trying to stick to the convention.

Here are the fields we could identify.

ap_p_page_app_crt_info_district was APP-004[0].Page1[0].AppCrtInfo[0].District[0] (0.65 conf)
ap_p_page_app_info_division was APP-004[0].Page1[0].AppCrtInfo[0].Division[0] (0.43 conf)
ap_p_page_party_info_bar was APP-004[0].Page1[0].AttyPartyInfo[0].AttyBarNo[0] (0.42 conf)
ap_p_page_atty_party_info_name was APP-004[0].Page1[0].AttyPartyInfo[0].Name[0] (0.44 conf)
ap_p_page_party_info_firm was APP-004[0].Page1[0].AttyPartyInfo[0].AttyFirm[0] (0.44 conf)
ap_p_page_atty_party_info_street was APP-004[0].Page1[0].AttyPartyInfo[0].Street[0] (0.44 conf)
ap_p_page_party_info_city was APP-004[0].Page1[0].AttyPartyInfo[0].City[0] (0.44 conf)
ap_p_page_party_info_state was APP-004[0].Page1[0].AttyPartyInfo[0].State[0] (0.44 conf)
ap_p_page_atty_party_info_zip was APP-004[0].Page1[0].AttyPartyInfo[0].Zip[0] (0.44 conf)
ap_p_page_party_info_phone was APP-004[0].Page1[0].AttyPartyInfo[0].Phone[0] (0.44 conf)
ap_p_page_party_info_fax was APP-004[0].Page1[0].AttyPartyInfo[0].Fax[0] (0.44 conf)
ap_p_page_party_info_email was APP-004[0].Page1[0].AttyPartyInfo[0].Email[0] (0.44 conf)
ap_p_page_atty_party_info was APP-004[0].Page1[0].AttyPartyInfo[0].AttyFor[0] (0.44 conf)
page_title_party_name_appellant was APP-004[0].Page1[0].TitlePartyName[0].Appellant[0] (0.42 conf)
page_title_party_name_respondent was APP-004[0].Page1[0].TitlePartyName[0].Respondent[0] (0.42 conf)
ap_p_page_court_info_county was APP-004[0].Page1[0].CourtInfo[0].CrtCounty[0] (0.42 conf)
ap_p_page_court_info_crt_street was APP-004[0].Page1[0].CourtInfo[0].CrtStreet[0] (0.42 conf)
ap_page_court_info_mailing_add was APP-004[0].Page1[0].CourtInfo[0].CrtMailingAdd[0] (0.46 conf)
ap_p_page_court_info_crt_city_zip was APP-004[0].Page1[0].CourtInfo[0].CrtCityZip[0] (0.42 conf)
ap_p_page_court_info_crt_branch was APP-004[0].Page1[0].CourtInfo[0].CrtBranch[0] (0.42 conf)
ap_p_page_judges_case was APP-004[0].Page1[0].JudgesInCase[0].JudgesInCase[0] (0.38 conf)
ap_p_page_app_case_number__1 was APP-004[0].Page1[0].AppCaseNumber[0].AppCaseNumber[0] (0.40 conf)
ap_p_page_case_number was APP-004[0].Page1[0].CaseNumber[0].CaseNumber[0] (0.43 conf)
ap_p_page_list_check_box__1 was APP-004[0].Page1[0].List1aSub[0].ItemaSub[0].CheckBox1[0] (0.43 conf)
ap_p_page_list_check_box__2 was APP-004[0].Page1[0].List1aSub[0].ItemaSub[0].CheckBox2[0] (0.43 conf)
ap_p_page_list_check_box__3 was APP-004[0].Page1[0].List1aSub[0].ItemaSub[0].CheckBox3[0] (0.43 conf)
ap_p_page_list_check_box__4 was APP-004[0].Page1[0].List1aSub[0].ItemaSub[0].CheckBox4[0] (0.43 conf)
ap_p_page_list_check_box__5 was APP-004[0].Page1[0].List1aSub[0].ItemaSub[0].CheckBox5[0] (0.43 conf)
ap_p_page_list_check_box__6 was APP-004[0].Page1[0].List1aSub[0].ItemaSub[0].CheckBox6[0] (0.43 conf)
ap_p_page_list_check_box__7 was APP-004[0].Page1[0].List1aSub[0].ItemaSub[0].CheckBox7[0] (0.43 conf)
ap_p_page_list_check_box__8 was APP-004[0].Page1[0].List1aSub[0].ItemaSub[0].CheckBox35[0] (0.43 conf)
ap_p_page_list_check_box__9 was APP-004[0].Page1[0].List1aSub[0].ItemaSub[0].CheckBox9[0] (0.43 conf)
ap_p_page_list_fill_text__1 was APP-004[0].Page1[0].List1aSub[0].ItemaSub[0].FillText[0] (0.43 conf)
ap_p_page_list_sub_dispose__1 was APP-004[0].Page1[0].List1aSub[0].ItembSub[0].DisposeAll[0] (0.40 conf)
ap_p_page_list_sub_dispose__2 was APP-004[0].Page1[0].List1aSub[0].ItembSub[0].DisposeAll[1] (0.40 conf)
ap_p_page_list_fill_text__2 was APP-004[0].Page1[0].List1aSub[0].ItembSub[0].FillText[0] (0.43 conf)
ap_p_page_list_fill_text__3 was APP-004[0].Page1[0].List2aSub[0].ItemaSub[0].FillText[0] (0.43 conf)
p_page_list_b_serve_date was APP-004[0].Page1[0].List2bSub[0].ItembSub[0].ServeDate[0] (0.42 conf)
p_page_list_c_motion_made__1 was APP-004[0].Page1[0].List2cSub[0].ItemcSub[0].MotionMadeDenied[0] (0.40 conf)
p_page_list_c_motion_made__2 was APP-004[0].Page1[0].List2cSub[0].ItemcSub[0].MotionMadeDenied[1] (0.40 conf)
p_page_list_c_sub_text was APP-004[0].Page1[0].List2cSub[0].ItemcSub[0].TextField[0] (0.43 conf)
ap_p_page_list_c_fill_text__1 was APP-004[0].Page1[0].List2cSub[0].ItemcSub[0].FillText[0] (0.43 conf)
ap_p_page_list_c_fill_text__2 was APP-004[0].Page1[0].List2cSub[0].ItemcSub[0].FillText2[0] (0.43 conf)
ap_p_page_list_c_fill_text__3 was APP-004[0].Page1[0].List2cSub[0].ItemcSub[0].FillText3[0] (0.43 conf)
ap_p_page_list_c_fill_text__4 was APP-004[0].Page1[0].List2cSub[0].ItemcSub[0].FillText4[0] (0.43 conf)
ap_p_list_sub_appl_cb__1 was APP-004[0].Page1[0].List2dSub[0].ItemdSub[0].ApplXappl_cb[0] (0.45 conf)
ap_p_list_sub_appl_cb__2 was APP-004[0].Page1[0].List2dSub[0].ItemdSub[0].ApplXappl_cb[1] (0.45 conf)
ap_p_page_list_fill_text__4 was APP-004[0].Page1[0].List2dSub[0].ItemdSub[0].FillText[0] (0.43 conf)
p_page_list_item_bankruptcy__1 was APP-004[0].Page1[0].List3Sub[0].Item3Sub[0].RelatedBankruptcy[0] (0.42 conf)
p_page_list_item_bankruptcy__2 was APP-004[0].Page1[0].List3Sub[0].Item3Sub[0].RelatedBankruptcy[1] (0.42 conf)
ap_p_page_app_case_title__1 was APP-004[0].Page2[0].AppCaseTitle[0] (0.48 conf)
ap_p_page_app_case_number__2 was APP-004[0].Page2[0].AppCaseNumber[0] (0.48 conf)
p_page_list_item_service_req__1 was APP-004[0].Page2[0].List4Sub[0].Item4Sub[0].ServiceReq[0] (0.40 conf)
p_page_list_item_service_req__2 was APP-004[0].Page2[0].List4Sub[0].Item4Sub[0].ServiceReq[1] (0.40 conf)
ap_p_page_list_item_fill__1 was APP-004[0].Page2[0].List4Sub[0].Item4Sub[0].FillText1[0] (0.43 conf)
ap_p_page_list_item_fill__2 was APP-004[0].Page2[0].List4Sub[0].Item4Sub[0].FillText2[0] (0.43 conf)
ap_p_page_list_item_fill__3 was APP-004[0].Page2[0].List4Sub[0].Item4Sub[0].FillText3[0] (0.43 conf)
ap_p_page_list_item_fill__4 was APP-004[0].Page2[0].List4Sub[0].Item4Sub[0].FillText4[0] (0.43 conf)
ap_p_page_list_item_fill__5 was APP-004[0].Page2[0].List4Sub[0].Item4Sub[0].FillText5[0] (0.43 conf)
ap_p_page_list_sub_item_ch__1 was APP-004[0].Page2[0].List5Sub[0].Item5Sub[0].Ch1[0] (0.42 conf)
ap_p_page_list_sub_item_ch__2 was APP-004[0].Page2[0].List5Sub[0].Item5Sub[0].Ch1[1] (0.42 conf)
p_page_list_item_check_box__1 was APP-004[0].Page2[0].List5Sub[0].Item5Sub[0].CheckBox50[0] (0.43 conf)
p_page_list_item_check_box__2 was APP-004[0].Page2[0].List5Sub[0].Item5Sub[0].CheckBox50[1] (0.43 conf)
p_page_list_item_check_box__3 was APP-004[0].Page2[0].List5Sub[0].Item5Sub[0].CheckBox50[2] (0.43 conf)
p_page_list_item_check_box__4 was APP-004[0].Page2[0].List5Sub[0].Item5Sub[0].CheckBox50[3] (0.43 conf)
p_page_list_item_check_box__5 was APP-004[0].Page2[0].List5Sub[0].Item5Sub[0].CheckBox50[4] (0.43 conf)
p_page_list_item_check_box__6 was APP-004[0].Page2[0].List5Sub[0].Item5Sub[0].CheckBox50[5] (0.43 conf)
p_page_list_item_check_box__7 was APP-004[0].Page2[0].List5Sub[0].Item5Sub[0].CheckBox50[6] (0.43 conf)
p_page_list_item_check_box__8 was APP-004[0].Page2[0].List5Sub[0].Item5Sub[0].CheckBox50[7] (0.43 conf)
p_page_list_item_check_box__9 was APP-004[0].Page2[0].List5Sub[0].Item5Sub[0].CheckBox50[8] (0.43 conf)
p_page_list_item_check_box__10 was APP-004[0].Page2[0].List5Sub[0].Item5Sub[0].CheckBox50[9] (0.43 conf)
p_page_list_item_check_box__11 was APP-004[0].Page2[0].List5Sub[0].Item5Sub[0].CheckBox50[10] (0.43 conf)
p_page_list_item_check_box__12 was APP-004[0].Page2[0].List5Sub[0].Item5Sub[0].CheckBox50[11] (0.43 conf)
p_page_list_item_check_box__13 was APP-004[0].Page2[0].List5Sub[0].Item5Sub[0].CheckBox50[12] (0.43 conf)
p_page_list_item_check_box__14 was APP-004[0].Page2[0].List5Sub[0].Item5Sub[0].CheckBox50[13] (0.43 conf)
ap_p_page_list_item_fill__6 was APP-004[0].Page2[0].List5Sub[0].Item5Sub[0].FillText[0] (0.43 conf)
ap_p_page_item_sub_check_box__1 was APP-004[0].Page2[0].Item1aSub[0].Item1a[0].CheckBox[0] (0.43 conf)
ap_p_page_item_b_check_box was APP-004[0].Page2[0].Item1bSub[0].Item1b[0].CheckBox[0] (0.43 conf)
ap_p_page_item_c_check_box was APP-004[0].Page2[0].Item1cSub[0].Item1c[0].CheckBox[0] (0.43 conf)
ap_p_page_item_sub_check_box__2 was APP-004[0].Page2[0].Item1dSub[0].Item1d[0].CheckBox[0] (0.43 conf)
ap_p_page_item_check_box__1 was APP-004[0].Page2[0].Itemd1Sub[0].Item1[0].CheckBox[0] (0.43 conf)
ap_p_page_item_check_box__2 was APP-004[0].Page2[0].Itemd2Sub[0].Item2[0].CheckBox[0] (0.43 conf)
ap_p_page_item_fill_text__1 was APP-004[0].Page2[0].Itemd2Sub[0].Item2[0].FillText[0] (0.43 conf)
ap_p_page_item_e_check_box was APP-004[0].Page2[0].Item1eSub[0].Item1[0].CheckBox[0] (0.43 conf)
ap_p_page_item_f_check_box was APP-004[0].Page2[0].Item1fSub[0].Item1[0].CheckBox[0] (0.43 conf)
ap_p_page_item_sub_check_box__3 was APP-004[0].Page2[0].Item1gSub[0].Item1[0].CheckBox[0] (0.45 conf)
ap_p_page_item_h_check_box was APP-004[0].Page2[0].Item1hSub[0].Item1[0].CheckBox[0] (0.43 conf)
ap_p_page_item_check_box__3 was APP-004[0].Page2[0].Itemh1Sub[0].Item1[0].CheckBox[0] (0.43 conf)
ap_p_page_item_check_box__4 was APP-004[0].Page2[0].Itemh2Sub[0].Item1[0].CheckBox[0] (0.43 conf)
ap_p_page_item_fill_text__2 was APP-004[0].Page2[0].Itemh2Sub[0].Item1[0].FillText[0] (0.43 conf)
ap_p_page_item_sub_check_box__4 was APP-004[0].Page2[0].Item1iSub[0].Item1[0].CheckBox[0] (0.43 conf)
ap_p_page_item_check_box__5 was APP-004[0].Page2[0].Itemi1Sub[0].Item1[0].CheckBox[0] (0.43 conf)
ap_p_page_item_check_box__6 was APP-004[0].Page2[0].Itemi2Sub[0].Item1[0].CheckBox[0] (0.43 conf)
ap_p_page_item_check_box__7 was APP-004[0].Page2[0].Itemi3Sub[0].Item1[0].CheckBox[0] (0.43 conf)
ap_p_page_item_check_box__8 was APP-004[0].Page2[0].Itemi4Sub[0].Item1[0].CheckBox[0] (0.43 conf)
ap_p_page_item_check_box__9 was APP-004[0].Page2[0].Itemi5Sub[0].Item1[0].CheckBox[0] (0.43 conf)
ap_p_page_item_fill_text__3 was APP-004[0].Page2[0].Itemi5Sub[0].Item1[0].FillText[0] (0.43 conf)
p_page_item_j_sub_check_box was APP-004[0].Page2[0].Item1jSub[0].Item1[0].CheckBox[0] (0.43 conf)
ap_p_page_item_k_check_box was APP-004[0].Page2[0].Item1kSub[0].Item1[0].CheckBox[0] (0.43 conf)
ap_p_page_item_check_box__10 was APP-004[0].Page2[0].Itemk1Sub[0].Item1[0].CheckBox[0] (0.43 conf)
ap_p_page_item_check_box__11 was APP-004[0].Page2[0].Itemk2Sub[0].Item1[0].CheckBox[0] (0.43 conf)
ap_p_page_item_check_box__12 was APP-004[0].Page2[0].Itemk3Sub[0].Item1[0].CheckBox[0] (0.43 conf)
ap_p_page_list_check_box__10 was APP-004[0].Page2[0].Itemk4Sub[0].List[0].CheckBox[0] (0.43 conf)
ap_p_page_list_fill_text__5 was APP-004[0].Page2[0].Itemk4Sub[0].List[0].FillText[0] (0.43 conf)
ap_p_page_item_check_box__13 was APP-004[0].Page2[0].Iteml1Sub[0].Item1[0].CheckBox[0] (0.43 conf)
ap_p_page_item_fill_text__4 was APP-004[0].Page2[0].Iteml1Sub[0].Item1[0].FillText[0] (0.43 conf)
ap_p_page_item_sub_check_box__5 was APP-004[0].Page2[0].Item2Sub[0].Item1[0].CheckBox[0] (0.43 conf)
ap_p_page_item_sub_fill_text was APP-004[0].Page2[0].Item2Sub[0].Item1[0].FillText[0] (0.43 conf)
ap_p_page_app_case_title__2 was APP-004[0].Page3[0].AppCaseTitle[0] (0.48 conf)
ap_p_page_app_case_number__3 was APP-004[0].Page3[0].AppCaseNumber[0] (0.48 conf)
ap_p_page_heading_h_ch was APP-004[0].Page3[0].Heading_H2[0].Ch30[0] (0.44 conf)
p_page_party_info_fill_text__1 was APP-004[0].Page3[0].PartyAttyInfo1[0].PartyInfo[0].FillText1[0] (0.43 conf)
p_page_party_info_fill_text__2 was APP-004[0].Page3[0].PartyAttyInfo1[0].PartyInfo[0].FillText2[0] (0.43 conf)
p_page_party_info_check_box__1 was APP-004[0].Page3[0].PartyAttyInfo1[0].PartyInfo[0].CheckBox1[0] (0.40 conf)
p_page_party_info_check_box__2 was APP-004[0].Page3[0].PartyAttyInfo1[0].PartyInfo[0].CheckBox2[0] (0.40 conf)
p_page_party_info_fill_text__3 was APP-004[0].Page3[0].PartyAttyInfo1[0].PartyInfo[0].FillText3[0] (0.43 conf)
p_page_party_info_check_box__3 was APP-004[0].Page3[0].PartyAttyInfo1[0].PartyInfo[0].CheckBox3[0] (0.40 conf)
p_page_party_info_check_box__4 was APP-004[0].Page3[0].PartyAttyInfo1[0].PartyInfo[0].CheckBox4[0] (0.40 conf)
p_page_party_info_check_box__5 was APP-004[0].Page3[0].PartyAttyInfo1[0].PartyInfo[0].CheckBox5[0] (0.40 conf)
p_page_party_info_fill_text__4 was APP-004[0].Page3[0].PartyAttyInfo1[0].PartyInfo[0].FillText4[0] (0.43 conf)
ap_page_party_info_check_box__1 was APP-004[0].Page3[0].PartyAttyInfo1[0].ReprInfo[0].CheckBox40[0] (0.44 conf)
ap_page_party_info_check_box__2 was APP-004[0].Page3[0].PartyAttyInfo1[0].ReprInfo[0].CheckBox40[1] (0.44 conf)
ap_p_page_party_atty_info_repr_fill_text__1 was APP-004[0].Page3[0].PartyAttyInfo1[0].ReprInfo[0].FillText1[0] (0.41 conf)
ap_p_page_party_atty_info_repr_fill_text__2 was APP-004[0].Page3[0].PartyAttyInfo1[0].ReprInfo[0].FillText2[0] (0.41 conf)
ap_p_page_party_atty_info_repr_fill_text__3 was APP-004[0].Page3[0].PartyAttyInfo1[0].ReprInfo[0].FillText3[0] (0.41 conf)
ap_p_page_party_atty_info_repr_fill_text__4 was APP-004[0].Page3[0].PartyAttyInfo1[0].ReprInfo[0].FillText4[0] (0.41 conf)
ap_p_page_party_atty_info_repr_fill_text__5 was APP-004[0].Page3[0].PartyAttyInfo1[0].ReprInfo[0].FillText5[0] (0.41 conf)
ap_p_page_party_atty_info_repr_fill_text__6 was APP-004[0].Page3[0].PartyAttyInfo1[0].ReprInfo[0].FillText6[0] (0.41 conf)
ap_p_page_party_atty_info_repr_fill_text__7 was APP-004[0].Page3[0].PartyAttyInfo1[0].ReprInfo[0].FillText7[0] (0.41 conf)
p_page_party_info_fill_text__5 was APP-004[0].Page3[0].PartyAttyInfo2[0].PartyInfo_sf[0].FillText1[0] (0.42 conf)
p_page_party_info_fill_text__6 was APP-004[0].Page3[0].PartyAttyInfo2[0].PartyInfo_sf[0].FillText2[0] (0.42 conf)
ap_page_party_info_check_box__3 was APP-004[0].Page3[0].PartyAttyInfo2[0].PartyInfo_sf[0].CheckBox1[0] (0.41 conf)
ap_page_party_info_check_box__4 was APP-004[0].Page3[0].PartyAttyInfo2[0].PartyInfo_sf[0].CheckBox2[0] (0.41 conf)
p_page_party_info_fill_text__7 was APP-004[0].Page3[0].PartyAttyInfo2[0].PartyInfo_sf[0].FillText3[0] (0.42 conf)
ap_page_party_info_check_box__5 was APP-004[0].Page3[0].PartyAttyInfo2[0].PartyInfo_sf[0].CheckBox3[0] (0.41 conf)
ap_page_party_info_check_box__6 was APP-004[0].Page3[0].PartyAttyInfo2[0].PartyInfo_sf[0].CheckBox4[0] (0.41 conf)
ap_page_party_info_check_box__7 was APP-004[0].Page3[0].PartyAttyInfo2[0].PartyInfo_sf[0].CheckBox5[0] (0.41 conf)
p_page_party_info_fill_text__8 was APP-004[0].Page3[0].PartyAttyInfo2[0].PartyInfo_sf[0].FillText4[0] (0.42 conf)
ap_page_party_info_check_box__8 was APP-004[0].Page3[0].PartyAttyInfo2[0].ReprInfo[0].CheckBox41[0] (0.44 conf)
ap_page_party_info_check_box__9 was APP-004[0].Page3[0].PartyAttyInfo2[0].ReprInfo[0].CheckBox41[1] (0.44 conf)
ap_p_page_party_atty_info_repr_fill_text__8 was APP-004[0].Page3[0].PartyAttyInfo2[0].ReprInfo[0].FillText1[0] (0.41 conf)
ap_p_page_party_atty_info_repr_fill_text__9 was APP-004[0].Page3[0].PartyAttyInfo2[0].ReprInfo[0].FillText2[0] (0.41 conf)
ap_p_page_party_atty_info_repr_fill_text__10 was APP-004[0].Page3[0].PartyAttyInfo2[0].ReprInfo[0].FillText3[0] (0.41 conf)
ap_p_page_party_atty_info_repr_fill_text__11 was APP-004[0].Page3[0].PartyAttyInfo2[0].ReprInfo[0].FillText4[0] (0.41 conf)
ap_p_page_party_atty_info_repr_fill_text__12 was APP-004[0].Page3[0].PartyAttyInfo2[0].ReprInfo[0].FillText5[0] (0.41 conf)
ap_p_page_party_atty_info_repr_fill_text__13 was APP-004[0].Page3[0].PartyAttyInfo2[0].ReprInfo[0].FillText6[0] (0.41 conf)
ap_p_page_party_atty_info_repr_fill_text__14 was APP-004[0].Page3[0].PartyAttyInfo2[0].ReprInfo[0].FillText7[0] (0.41 conf)
p_page_party_info_fill_text__9 was APP-004[0].Page3[0].PartyAttyInfo[0].PartyInfo[0].FillText1[0] (0.43 conf)
p_page_party_info_fill_text__10 was APP-004[0].Page3[0].PartyAttyInfo[0].PartyInfo[0].FillText2[0] (0.43 conf)
p_page_party_info_check_box__6 was APP-004[0].Page3[0].PartyAttyInfo[0].PartyInfo[0].CheckBox1[0] (0.40 conf)
p_page_party_info_check_box__7 was APP-004[0].Page3[0].PartyAttyInfo[0].PartyInfo[0].CheckBox2[0] (0.40 conf)
p_page_party_info_fill_text__11 was APP-004[0].Page3[0].PartyAttyInfo[0].PartyInfo[0].FillText3[0] (0.43 conf)
p_page_party_info_check_box__8 was APP-004[0].Page3[0].PartyAttyInfo[0].PartyInfo[0].CheckBox3[0] (0.40 conf)
p_page_party_info_check_box__9 was APP-004[0].Page3[0].PartyAttyInfo[0].PartyInfo[0].CheckBox4[0] (0.40 conf)
p_page_party_info_check_box__10 was APP-004[0].Page3[0].PartyAttyInfo[0].PartyInfo[0].CheckBox5[0] (0.40 conf)
p_page_party_info_fill_text__12 was APP-004[0].Page3[0].PartyAttyInfo[0].PartyInfo[0].FillText4[0] (0.43 conf)
ap_page_party_info_check_box__10 was APP-004[0].Page3[0].PartyAttyInfo[0].ReprInfo[0].CheckBox42[0] (0.44 conf)
ap_page_party_info_check_box__11 was APP-004[0].Page3[0].PartyAttyInfo[0].ReprInfo[0].CheckBox42[1] (0.44 conf)
ap_p_page_party_atty_info_repr_fill_text__15 was APP-004[0].Page3[0].PartyAttyInfo[0].ReprInfo[0].FillText1[0] (0.41 conf)
ap_p_page_party_atty_info_repr_fill_text__16 was APP-004[0].Page3[0].PartyAttyInfo[0].ReprInfo[0].FillText2[0] (0.41 conf)
ap_p_page_party_atty_info_repr_fill_text__17 was APP-004[0].Page3[0].PartyAttyInfo[0].ReprInfo[0].FillText3[0] (0.41 conf)
ap_p_page_party_atty_info_repr_fill_text__18 was APP-004[0].Page3[0].PartyAttyInfo[0].ReprInfo[0].FillText4[0] (0.41 conf)
ap_p_page_party_atty_info_repr_fill_text__19 was APP-004[0].Page3[0].PartyAttyInfo[0].ReprInfo[0].FillText5[0] (0.41 conf)
ap_p_page_party_atty_info_repr_fill_text__20 was APP-004[0].Page3[0].PartyAttyInfo[0].ReprInfo[0].FillText6[0] (0.41 conf)
ap_p_page_party_atty_info_repr_fill_text__21 was APP-004[0].Page3[0].PartyAttyInfo[0].ReprInfo[0].FillText7[0] (0.41 conf)
p_page_party_info_fill_text__13 was APP-004[0].Page3[0].PartyAttyInfo_sf[0].PartyInfo_sf[0].FillText1[0] (0.39 conf)
p_page_party_info_fill_text__14 was APP-004[0].Page3[0].PartyAttyInfo_sf[0].PartyInfo_sf[0].FillText2[0] (0.39 conf)
ap_page_party_info_check_box__12 was APP-004[0].Page3[0].PartyAttyInfo_sf[0].PartyInfo_sf[0].CheckBox1[0] (0.40 conf)
ap_page_party_info_check_box__13 was APP-004[0].Page3[0].PartyAttyInfo_sf[0].PartyInfo_sf[0].CheckBox2[0] (0.40 conf)
p_page_party_info_fill_text__15 was APP-004[0].Page3[0].PartyAttyInfo_sf[0].PartyInfo_sf[0].FillText3[0] (0.39 conf)
ap_page_party_info_check_box__14 was APP-004[0].Page3[0].PartyAttyInfo_sf[0].PartyInfo_sf[0].CheckBox3[0] (0.40 conf)
ap_page_party_info_check_box__15 was APP-004[0].Page3[0].PartyAttyInfo_sf[0].PartyInfo_sf[0].CheckBox4[0] (0.40 conf)
ap_page_party_info_check_box__16 was APP-004[0].Page3[0].PartyAttyInfo_sf[0].PartyInfo_sf[0].CheckBox5[0] (0.40 conf)
p_page_party_info_fill_text__16 was APP-004[0].Page3[0].PartyAttyInfo_sf[0].PartyInfo_sf[0].FillText4[0] (0.39 conf)
ap_page_party_info_check_box__17 was APP-004[0].Page3[0].PartyAttyInfo_sf[0].ReprInfo[0].CheckBox44[0] (0.39 conf)
ap_page_party_info_check_box__18 was APP-004[0].Page3[0].PartyAttyInfo_sf[0].ReprInfo[0].CheckBox44[1] (0.39 conf)
ap_p_page_party_atty_info_sf_repr_fill_text__1 was APP-004[0].Page3[0].PartyAttyInfo_sf[0].ReprInfo[0].FillText1[0] (0.42 conf)
ap_p_page_party_atty_info_sf_repr_fill_text__2 was APP-004[0].Page3[0].PartyAttyInfo_sf[0].ReprInfo[0].FillText2[0] (0.42 conf)
ap_p_page_party_atty_info_sf_repr_fill_text__3 was APP-004[0].Page3[0].PartyAttyInfo_sf[0].ReprInfo[0].FillText3[0] (0.42 conf)
ap_p_page_party_atty_info_sf_repr_fill_text__4 was APP-004[0].Page3[0].PartyAttyInfo_sf[0].ReprInfo[0].FillText4[0] (0.42 conf)
ap_p_page_party_atty_info_sf_repr_fill_text__5 was APP-004[0].Page3[0].PartyAttyInfo_sf[0].ReprInfo[0].FillText5[0] (0.42 conf)
ap_p_page_party_atty_info_sf_repr_fill_text__6 was APP-004[0].Page3[0].PartyAttyInfo_sf[0].ReprInfo[0].FillText6[0] (0.42 conf)
ap_p_page_party_atty_info_sf_repr_fill_text__7 was APP-004[0].Page3[0].PartyAttyInfo_sf[0].ReprInfo[0].FillText7[0] (0.42 conf)
ap_p_page_ch was APP-004[0].Page3[0].Ch31[0] (0.40 conf)
ap_p_page_fill_text was APP-004[0].Page3[0].FillText[0] (0.45 conf)
ap_p_page_app_case_title__3 was APP-004[0].Page4[0].AppCaseTitle[0] (0.48 conf)
ap_p_page_app_case_number__4 was APP-004[0].Page4[0].AppCaseNumber[0] (0.48 conf)
ap_p_page_heading_h_service__1 was APP-004[0].Page4[0].Heading_H2[0].ServiceBy[0] (0.41 conf)
ap_p_page_heading_h_service__2 was APP-004[0].Page4[0].Heading_H2[0].ServiceBy[1] (0.41 conf)
ap_p_page_heading_h_service__3 was APP-004[0].Page4[0].Heading_H2[0].ServiceBy[2] (0.41 conf)
ap_p_page_list_sub_server was APP-004[0].Page4[0].ListI2Sub[0].List[0].ServerAddress[0] (0.45 conf)
ap_p_page_list_sub_service was APP-004[0].Page4[0].ListI3aSub[0].List[0].Service[0] (0.45 conf)
ap_p_page_list_mail_manner was APP-004[0].Page4[0].ListI1aSub[0].List[0].MailManner[0] (0.40 conf)
ap_p_page_list_b_mail_manner was APP-004[0].Page4[0].ListI31bSub[0].List[0].MailManner[0] (0.40 conf)
ap_p_page_list_mail_addressee was APP-004[0].Page4[0].ListI2aSub[0].List[0].MailAddressee[0] (0.40 conf)
p_page_list_b_mail_envelope was APP-004[0].Page4[0].ListI2bSub[0].List[0].MailEnvelope[0] (0.40 conf)
ap_p_page_list_c_sub_mailing was APP-004[0].Page4[0].ListI2cSub[0].List[0].Mailing[0] (0.45 conf)
ap_p_page_list_sub_place was APP-004[0].Page4[0].ListI2dSub[0].List[0].MailingPlace[0] (0.44 conf)
ap_p_page_list_b_sub_service was APP-004[0].Page4[0].ListI3bSub[0].List[0].Service[0] (0.45 conf)
ap_p_page_list_sub_person__1 was APP-004[0].Page4[0].ListIb1Sub[0].List[0].PersonServed[0] (0.42 conf)
ap_p_page_list_person_address__1 was APP-004[0].Page4[0].ListIb2Sub[0].List[0].PersonServedAddress[0] (0.40 conf)
ap_p_page_list_date_delivered was APP-004[0].Page4[0].ListIb3Sub[0].List[0].DateDelivered[0] (0.46 conf)
ap_p_page_list_sub_time was APP-004[0].Page4[0].ListIb4Sub[0].List[0].TimeDelivered[0] (0.44 conf)
ap_p_page_list_ic_sub was APP-004[0].Page4[0].ListIcSub[0].List[0].Service[0] (0.41 conf)
ap_p_page_list_ic_sub_e was APP-004[0].Page4[0].ListIcSub[0].List[0].EServiceAdd[0] (0.43 conf)
ap_p_page_list_sub_person__2 was APP-004[0].Page4[0].ListIc1Sub[0].List[0].PersonServed[0] (0.42 conf)
ap_p_page_list_person_address__2 was APP-004[0].Page4[0].ListIc2Sub[0].List[0].PersonServedAddress[0] (0.43 conf)
ap_p_page_list_ic_date was APP-004[0].Page4[0].ListIc3Sub[0].List[0].DateDelivered[0] (0.46 conf)
ap_p_page_po was APP-004[0].Page4[0].POS[0] (0.37 conf)
ap_p_page_server was APP-004[0].Page4[0].Server[0] (0.40 conf)

We've done our best to group similar variables togther to avoid overwhelming the user.

Suggested Screen 0:

ap_p_page_app_crt_info_district
ap_p_page_app_info_division
ap_p_page_party_info_bar
ap_p_page_atty_party_info_name
ap_p_page_party_info_firm
ap_p_page_atty_party_info_street
ap_p_page_party_info_city
ap_p_page_party_info_state
ap_p_page_atty_party_info_zip
ap_p_page_party_info_phone
ap_p_page_party_info_fax
ap_p_page_party_info_email
ap_p_page_atty_party_info
page_title_party_name_appellant
page_title_party_name_respondent
ap_p_page_court_info_county
ap_p_page_court_info_crt_street
ap_page_court_info_mailing_add
ap_p_page_court_info_crt_city_zip
ap_p_page_court_info_crt_branch
ap_p_page_judges_case
ap_p_page_app_case_number__1
ap_p_page_case_number
ap_p_page_list_check_box__1
ap_p_page_list_check_box__2
ap_p_page_list_check_box__3
ap_p_page_list_check_box__4
ap_p_page_list_check_box__5
ap_p_page_list_check_box__6
ap_p_page_list_check_box__7
ap_p_page_list_check_box__8
ap_p_page_list_check_box__9
ap_p_page_list_fill_text__1
ap_p_page_list_sub_dispose__1
ap_p_page_list_sub_dispose__2
ap_p_page_list_fill_text__2
ap_p_page_list_fill_text__3
p_page_list_b_serve_date
p_page_list_c_motion_made__1
p_page_list_c_motion_made__2
p_page_list_c_sub_text
ap_p_page_list_c_fill_text__1
ap_p_page_list_c_fill_text__2
ap_p_page_list_c_fill_text__3
ap_p_page_list_c_fill_text__4
ap_p_list_sub_appl_cb__1
ap_p_list_sub_appl_cb__2
ap_p_page_list_fill_text__4
p_page_list_item_bankruptcy__1
p_page_list_item_bankruptcy__2
ap_p_page_app_case_title__1
ap_p_page_app_case_number__2
p_page_list_item_service_req__1
p_page_list_item_service_req__2
ap_p_page_list_item_fill__1
ap_p_page_list_item_fill__2
ap_p_page_list_item_fill__3
ap_p_page_list_item_fill__4
ap_p_page_list_item_fill__5
ap_p_page_list_sub_item_ch__1
ap_p_page_list_sub_item_ch__2
p_page_list_item_check_box__1
p_page_list_item_check_box__2
p_page_list_item_check_box__3
p_page_list_item_check_box__4
p_page_list_item_check_box__5
p_page_list_item_check_box__6
p_page_list_item_check_box__7
p_page_list_item_check_box__8
p_page_list_item_check_box__9
p_page_list_item_check_box__10
p_page_list_item_check_box__11
p_page_list_item_check_box__12
p_page_list_item_check_box__13
p_page_list_item_check_box__14
ap_p_page_list_item_fill__6
ap_p_page_item_sub_check_box__1
ap_p_page_item_b_check_box
ap_p_page_item_c_check_box
ap_p_page_item_sub_check_box__2
ap_p_page_item_check_box__1
ap_p_page_item_check_box__2
ap_p_page_item_fill_text__1
ap_p_page_item_e_check_box
ap_p_page_item_f_check_box
ap_p_page_item_sub_check_box__3
ap_p_page_item_h_check_box
ap_p_page_item_check_box__3
ap_p_page_item_check_box__4
ap_p_page_item_fill_text__2
ap_p_page_item_sub_check_box__4
ap_p_page_item_check_box__5
ap_p_page_item_check_box__6
ap_p_page_item_check_box__7
ap_p_page_item_check_box__8
ap_p_page_item_check_box__9
ap_p_page_item_fill_text__3
p_page_item_j_sub_check_box
ap_p_page_item_k_check_box
ap_p_page_item_check_box__10
ap_p_page_item_check_box__11
ap_p_page_item_check_box__12
ap_p_page_list_check_box__10
ap_p_page_list_fill_text__5
ap_p_page_item_check_box__13
ap_p_page_item_fill_text__4
ap_p_page_item_sub_check_box__5
ap_p_page_item_sub_fill_text
ap_p_page_app_case_title__2
ap_p_page_app_case_number__3
ap_p_page_heading_h_ch
p_page_party_info_fill_text__1
p_page_party_info_fill_text__2
p_page_party_info_check_box__1
p_page_party_info_check_box__2
p_page_party_info_fill_text__3
p_page_party_info_check_box__3
p_page_party_info_check_box__4
p_page_party_info_check_box__5
p_page_party_info_fill_text__4
ap_page_party_info_check_box__1
ap_page_party_info_check_box__2
ap_p_page_party_atty_info_repr_fill_text__1
ap_p_page_party_atty_info_repr_fill_text__2
ap_p_page_party_atty_info_repr_fill_text__3
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