FORM: CLERK'S NOTICE OF APPEAL TO THE ARKANSAS SUPREME COURT IN DEATH-SENTENCE CASE PURSUANT TO RULE 10 OF THE RULES OF APPELLATE PROCEDURE—CRIMINAL

IN THE CIRCUIT COURT OF __________________ COUNTY, ARKANSAS

DIVISION ____________ DISTRICT _____________

STATE OF ARKANSAS PLAINTIFF

vs.

Case No. _____________

_____________________ DEFENDANT

NOTICE OF APPEAL FROM JUDGMENT IMPOSING DEATH SENTENCE

CONVICTION(S) APPEALED (list all offenses appealed):______________________ __________________________________________________________________

DATE OF ENTRY OF JUDGMENT:________________________________________________________

SENTENCE(S) (List all sentences in addition to sentence(s) of death):____________

__________________________________________________________________

INDIGENT: ( ) YES ( ) NO

NAME AND COMPLETE ADDRESS OF:

1. COURT REPORTER(S) (List all court reporters; use additional pages if needed):

_________________________________________________________________
(name) (telephone)

_________________________________________________________________
(address) (city) (state) (zip code)

_________________________________________________________________
(name) (telephone)

_________________________________________________________________
(address) (city) (state) (zip code)

2. DEFENDANT'S TRIAL COUNSEL (List all attorneys; use additional pages if needed):

_________________________________________________________________
(name) (telephone)

_________________________________________________________________
(address) (city) (state) (zip code)

_________________________________________________________________
(name) (telephone)

_________________________________________________________________
(address) (city) (state) (zip code)

THE COURT REPORTER SHALL IMMEDIATELY PREPARE THE ENTIRE RECORD AND TRANSMIT IT IN ACCORDANCE WITH RULE 10(a) OF THE ARKANSAS RULES OF APPELLATE PROCEDURE—CRIMINAL.

THIS NOTICE OF APPEAL MUST BE GIVEN WITHIN THE TIME SPECIFIED IN RULE 2(a) OF THE ARKANSAS RULES OF APPELLATE PROCEDURE—CRIMINAL.

I certify that I have served a copy of this notice of appeal on all parties or their representatives involved in the cause and on the court reporter by mailing a copy of the notice of appeal to the parties or their representatives, to the court reporter, and to the Attorney General on this ______ day of _______________, 20__.

____________________________________
CIRCUIT COURT CLERK