Arraignment Date: Time:
FIRST JUDICIAL DISTRICT OF PENNSYLVANIA CRIMINAL TRIAL DIVISION ACTIVE CRIMINAL RECORDS Criminal Justice Center, 2nd Floor 1301 Filbert Street, Philadelphia, PA 19107
Room:
Notice of Appeal
from Municipal Court to the Court of Common Pleas
Municipal Court #
(One Case Number per Appeal Form) (Date of Filing)
(Defendant's Name and Address)
(Phila. Photo I.D. #)
Appeal from Sentence of , 20 (You must be sentenced and your sentence cannot be from a VOP hearing.)
, Room
Did you plead guilty? Yes No Note: Guilty Pleas, Nolo Contendere Pleas, and ARD Probation cannot be appealed; please seek legal advice to file a motion to withdraw your plea or ARD decision. The charges upon which the defendant was convicted are:
Sentenced to: Name of Sentencing Judge: Is defendant presently in custody? If yes, at what prison? Attorney for Defendant: Attorney's Telephone No.: Yes No Prison I.D.:
(Defendant's or Attorney's Signature)
01-205