Free Civil Appeal/Request for Transcript/Certificate of Service - Maryland

DISTRICT COURT OF MARYLAND FOR
City/County

Located at
Court Address

Case No. vs.
Plaintiff/Petitioner Defendant/Respondent

CIVIL APPEAL/REQUEST FOR TRANSCRIPT (APPL) (TRSC) To the Clerk: Please note an appeal in the case referenced above. Appellant is the said case. District Court cost of $10 enclosed. (Not applicable to Domestic Violence Appeals.) Advance Circuit Court filing fee and surcharge enclosed: Domestic Violence Case $0 Application for Expungement of Police Records $55.00
(Checks made payable to Circuit Court)

in the

Other $105

Appellant, as an indigent, seeks a waiver of costs. The appeal being on the record, a transcript is requested. A deposit of is enclosed.*

Date of Trial Location of Trial

Signature of Appellant/Attorney/ Attorney Code Address

Date

City, State, Zip Telephone No.

CERTIFICATE OF SERVICE I certify that I served a Notice of Appeal upon the following party or parties by mailing first class mail, postage prepaid on
Date

to:

Name

Address City, State, Zip

Name

Address City, State, Zip

Date

Signature of Appellant/Attorney/ Attorney Code

*NOTE: A transcript of the District Court proceeding is required only if the appeal in on the record. The cost is $3.00 per page for an original transcript and one copy. Unless otherwise ordered by the Court, a deposit of $75.00 is required when the transcript is requested. You will be billed for the balance. The appeal will not be forwarded until all costs, including the cost of the transcript, have been paid.
DC/CV 37 (Rev. 11/2004)

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