Superior Court of California

NAME AND ADDRESS OF PARTY OR ATTORNEY FOR PARTY:
TELEPHONE NUMBER:
FOR COURT USE ONLY
ATTORNEY FOR (NAME):
SUPERIOR COURT OF CALIFORNIA, COUNTY OF
IMPERIAL
939 West Main Street, El Centro, CA 92243
220 Main Street, Brawley, CA 92227
415 East Fourth Street, Calexico, CA 92231
2124 Winterhaven Dr., Winterhaven, CA 92283
PLAINTIFF(S):
DEFENDANT(S):
NOTICE OF APPEAL; NOTICE OF FILING OF
APPEAL
SMALL CLAIMS (CCP § 116.710)
CASE NUMBER:
To: Plaintiff (Name and address):
To: Defendant (Name and address):
To: Plaintiff (Name and address):
To: Defendant (Name and address):
NOTICE OF APPEAL
I appeal to the superior court, as provided by law from
the small claims judgment, or
the denial of the
motion to vacate the small claims judgment.
Date Appeal Filed (clerk to insert date):
___________________________________
(TYPE OR PRINT NAME OF APPELLANT)
________________________________________
(SIGNATURE OF APPELLANT OR APPELLANT’S ATTORNEY)
I am an insurer of defendant (name) ________________________________ in this case. The judgment against
defendant exceeds $2,500, and the policy of insurance with the defendant covers the matter to which the
judgment applies.
________________________________
__________________________________________
(NAME OF INSURER)
(SIGNATURE OF DECLARANT)
NOTICE OF FILING OF APPEAL
Your small claims case as been APPEALED to the
superior court. Do not contact the small claims
court about this appeal. The superior court will
notify you of the date you should appear in court.
The notice of appeal is set forth below.
La decision hecha por la corte para reclamos judciales menores en
su caso ha sido APELADA ante la corte superior. No se ponga en
contacto con la corte para reclamos judiciales menores acerca de
esta apelación. La corte superior le notificar las fecha en que usted
debe presentarse ante ella. El aviso de la apelación aparece a
continuación.
Date: _________________ Kristine S. Kussman, Clerk, by ________________________________, Deputy
CLERK’S CERTIFICATE OF MAILING
I certify that I am not a party to this action. This Notice of Appeal and Notice of Filing of Notice of Appeal were
plaintiff
defendant at the address(es) stated
mailed first class, postage prepaid, in a sealed envelope to
above. The mailing and this certification occurred at (place) _______________, California on (Date): ________.
Date: _________________________
Kristine S. Kussman, Clerk, by
________________________________, Deputy
Form Approved for Optional Use
SC-02
(1 of 1)
(01/01/11)
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