The Ohio Court of Appeals Fifth District

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The Ohio Court of Appeals Fifth District Domestic Relations Appeals NOTICE: Effective April 30, 2014 The Fifth District Court of Appeals has amended the Docketing Statement (Local Rule 6). The Amended Docketing Statement is available at the Clerk s Office or online at www.fifthdist.org.

Fairfield County Clerk of Courts Fifth District Court of Appeals Paperwork Necessary to File an Appeal Civil Appeals 1. Notice of Appeal; Criminal Appeals 1. Notice of Appeal; 2. Criminal Docketing Statement; 6. The court retains original document + one copy for each party to be served. Domestic Relations Appeals 1. Notice of Appeal; 4. Praecipe for Court Recording and Transcript; Juvenile/Probate Appeals 1. Notice of Appeal (original must be filed in the trial court); Municipal Court Appeals 1. Notice of Appeal (original must be filed in the trial court); (Rev. 9/2014)

OHIO FIFTH DISTRICT COURT OF APPEALS DOCKETING STATEMENT WARNING: WARNING: A time-stamped copy of the judgment entry or order which makes your cause appealable as well as a copy of all judgment entries or orders being appealed must be attached to this statement. All requested information must be provided. Failure to file a fully completed docketing statement, typed or legibly printed, may result in this appeal being dismissed by the Court, sua sponte. Plaintiff-Appellant Appellee (Circle Designation) Appeal No. Trial Court No. Trial Court Judge -vs- Plaintiff's Counsel Phone Defendant's Counsel Phone Defendant-Appellant Appellee (Circle Designation) Time to Appeal extended per App.R. ( )Yes ( )No A. DATES: Of the judgment(s) being appealed Specify Reason: B. PROBABLE ISSUES FOR REVIEW: (Including charges in criminal case) C. THIS APPEAL SHOULD BE ASSIGNED TO: (Check One) (See Loc. App. R. 6(B) and App. R. 11.2) ( ) The regular calendar, ( ) The accelerated calendar, (See Loc. R. 6(B)) ( ) The expedited calendar. (See Section F(3) of this docketing statement, Loc. R. 7 and App. R. 11.2) D. THE RECORD: This Docketing Statement will serve as a praecipe to the clerk to prepare and transfer the docket and journal entries. Please Indicate the Type of Record to be Filed: (Check One). ( ) Docket and Journal Entries Only, no transcript of proceedings. ( ) Transcript has been prepared already. It is a ( ) Full or ( ) Partial Transcript. If partial, see App.R. 9(B) ( ) Statement of the record pursuant to App.R. 9(C). ( ) Agreed Statement of the Record pursuant to App.R. 9(D). ( ) Transcript of Proceedings. ( ) Less than or ( ) Greater than 100 pages. ( ) Full or ( ) Partial transcript has been ordered. If partial, see App.R. 9(B). WARNING: If a transcript of proceedings is needed, a copy of the notice of appeal and an appropriate praecipe must be served by Appellant on the court reporter. A copy of the praecipe to the court reporter shall be filed with this Court showing service of the notice of appeal and praecipe upon the court reporter. NAME OF COURT REPORTER, DATE SERVED _ Please state with particularity which exhibits and/or evidence, other than paper exhibits or documentary evidence not of unusual bulk or weight, the parties request be transmitted as part of the record on appeal. (See APP.R. 10(B); Loc.App.R. 8(C)) 17

E. CRIMINAL CASE 1. CHARGE: 2. DEGREE: ( ) Misdemeanor ( ) Felony 3. Is this an appeal of probation revocation? ( ) Yes ( ) No. If yes, what was the original charge and sentence? 4. Is this an appeal of Post-Conviction Relief? (R.C. 2953.21) ( ) Yes ( ) No. If yes, was a hearing held in the trial court? ( ) Yes ( ) No. What was the original charge and sentence? 5. Type of Appeal: (Check One) ( ) Appeal as of Right ( ) State s Appeal as of Right (R.C. 2945.67(A)) ( ) Appeal by Leave of Court (App.R. 5) ( ) State s Appeal by Leave of Court 6. Is this an appeal for review of sentencing pursuant to R.C. 2953.08? ( ) Yes ( ) No. 7. Was counsel appointed for trial? ( ) Yes ( ) No. 8. Was counsel appointed for appeal? ( ) Yes ( ) No. 9. Was a stay of sentence requested in trial court? ( ) Yes ( ) No If yes, stay was: GRANTED DENIED PENDING F. CIVIL CASE 1.ACTION BROUGHT IN LOWER COURT: 2. Did this action originate in a Trial Court or in an Administrative Agency? Indicate which. ( ) County Court ( ) Municipal Court ( ) Common Pleas Court ( ) Administrative Agency ( ) Probate Court ( ) Family Court ( ) Juvenile Court ( ) Other 3. Must this case be expedited as being one of the following types: ( )Yes ( )No. If yes, check one of the following: ( ) Appeal under determination of local fiscal emergency brought by municipal corporation R.C. 118.04(C) ( ) Appeal brought by minor child under R.C. 2505.073 ( ) Appeal involving matters of child custody, allocation of parental rights or responsibilities, or designation of a child s place of residence and legal custodian under R.C. 3109.04(H) and R.C. 3109.06. ( ) Appeal from orders granting or denying (1) termination of parental rights or (2) adoption of a minor child.(see App. R. 11.2 effective July I, 2000) See Loc. R. 7 ( ) Appeal from orders regarding dependent, abused, neglected, unruly, or delinquent children. (See App. R. 11.2 effective July I, 2000) See Loc. R. 7 ( ) Election contests as provided in R.C. 3515.08 4. Do you know of another case pending in this Court which raises the same issue(s)? ( ) Yes ( ) No. If yes, please cite case(s). 5. Have you determined in good faith that the judgment appealed from is a final appealable order? (R.C. 2505.02) ( ) Yes ( ) No. 6. Did the judgment dispose of all claims by and against all parties? ( ) Yes ( ) No. 7. If not, is there an express determination that there is no just reason for delay? (Civ.R. 54(B)) ( ) Yes ( ) No. 8. Was a stay of judgment requested in trial court? ( ) Yes ( ) No If yes, stay was: GRANTED DENIED PENDING CERTIFICATION I certify that the information provided on this docketing statement is accurate. (Revised Effective April 30, 2014) Signature of Counsel (or Party if not represented by Counsel) & Supreme Court Reg. No. 18

IN THE COURT OF APPEALS FOR FAIRFIELD COUNTY, OHIO FIFTH APPELLATE DISTRICT : Plaintiff/Petitioner : APPEAL NO. SELECT ONE: Appellee : Appellant : -vs/and- : TRIAL COURT : CASE NO. : Defendant/Respondent/Petitioner : PRAECIPE FOR COURT RECORDING SELECT ONE: Appellee : AND TRANSCRIPT Appellant : INSTRUCTIONS: All shaded areas of this form must be completed. TO THE CLERK: Please serve a copy of the Notice of Appeal and this Praecipe for Court Recording upon the following: 1. Fairfield County Domestic Relations Court Bailiff 224 East Main Street Room 402 Lancaster, Ohio 43130 2. Registered Professional Court Reporter: LIST THE NAME OF THE COURT REPORTER TO PREPARE TRANSCRIPT STREET ADDRESS CITY/STATE/ZIP TELEPHONE Page 1 of 2

TO THE FAIRFIELD COUNTY DOMESTIC RELATIONS COURT BAILIFF: Please prepare a CD recording of hearings in this matter that were held on the dates listed below and mail the CD to the Court Reporter named above: LIST ALL COURT HEARING DATES TO BE RECORDED TO THE COURT REPORTER: Please prepare a transcript of the proceedings sent to you in CD format by the Fairfield County Domestic Relations Court Bailiff and send the completed transcript to the Fairfield County Clerk of Courts at 224 East Main Street 2 nd Floor, Lancaster, Ohio 43130 for filing. BY SIGNING BELOW, I, the Requestor, hereby acknowledge that it is my responsibility to contact the Court Reporter that is preparing the transcript to make arrangements for payment of the cost of the transcript. SIGNATURE PRINTED NAME ADDRESS CITY/STATE/ZIP TELEPHONE Page 2 of 2

Court Reporters Accuscribes Reporting Ltd. Pat Thorton P.O. Box 2466 Lancaster, Ohio 43130 740-689-1680 PRI Court Reporting, LLC 398 Washington Avenue Columbus, Ohio 43215 614-460-5000, 1-800-229-0675 Fax: 614-460-5566 www.priohio.com Rawson Reporting Services, LLC Lisa B. Rawson 129 James Avenue Heath, Ohio 43056 740-522-8143 Ellen Riggs, Court Reporter Hocking County Common Pleas Court 1 East Main Street Logan, OH 43138 740-385-8384 Runfola Court Reporting 9039 Antares Avenue Columbus, OH 43240 614-841-7759 www.runfola.com Spectrum Reporting, LLC 333 E. Stewart Avenue Columbus, Ohio 43206 614-444-1000, 1-800-635-9071 www.spectrumreporting.com Tahyi Video and Court Reporting Peggy Tahyi 334 Main Street Zanesville, Ohio 43701 740-454-7157, 1-800-526-6508 (Rev. 9/2014)