Page 2 of 4 - Criminal Appeal Docketing Statement

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TRIAL AND APPEAL (TRAP 32.2(f)-(k)):
Offense Charged: Date of Offense: Defendant's Plea: If guilty or nolo contendere, was plea result of negotiated plea bargain agreement? Was the trial jury or nonjury? Guilt/Innocence Phase: Punishment Phase: Punishment Assessed:	Is the appeal from a pretrial order? Yes No Does the appeal involve the validity of a statute, rule, or ordinance? Yes No If yes, specify.
TRIAL COURT AND RECORD (TRAP 32.2(c), (l), (m)):
Court:	T.Ct. Cause No.
Trial Judge (Who Tried or Disposed of Case): Telephone No.: Fax: Address:	Court Clerk (District or County Clerk): Telephone No.: 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):
Reporter's/Recorder's Record (Check If Electronic Recording ) Number and Date(s) of Hearing(s):	Date Requested: Fee Paid: Yes: No: Arrangements Made to Pay Fee: Yes No

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Rev. 9/2/97