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  Check as Appropriate Furnish Information
as Appropriate
Accelerated Appeal (Under TRAP 28, or Other Rule or Statute, or Appeal Given Precedence or Priority) Yes: No: Reason for Acceleration:
Temporary or Ancillary Relief
dot_clear.gif (42 bytes)		 None:
Will Request:		 Basis for Request:
NATURE OF THE CASE (TRAP 32.1(f)):
Describe Subject Matter (i.e., Personal Injury, Breach of Contract, Temporary Injunction)
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Posture of Parties at Trial:
Appellant(s): _________________
Appellee(s): _________________
TRIAL COURT AND RECORD (TRAP 32.1(c),(h),(i)):
Court:
dot_clear.gif (42 bytes)		 County: T.Ct. Cause No.:
Trial Judge (Who Tried or Disposed of Case):

Telephone:
Fax:
Address:
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 Court Clerk (District or County Clerk):

Telephone:
Fax:
Address:
Clerk's Record Fee Paid: Yes: No:
Arrangements Made to Pay Fee: Yes: No:
Court Reporter(s) or Court Recorder(s):

Telephone Number(s):

Fax Number(s):

Address(es):
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Reporter's/Recorder's Record
(Check if Electronic Recording )		 Yes: No:
Date Requested:
dot_clear.gif (42 bytes)		 Fee Paid: Yes: No:
Arrangements Made to Pay Fee: Yes: No:
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