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T$T$ #Ap#A#A #A 0  #AE #ABackgroundInformation .Thisinformationhelpstoensurethatyourappealisprocessedcorrectlyandthatyouare   properlyrepresentedonappeal.Pleasefilewithpage1.#A #AԀItisnotconfidential.T$T$  0  #A #AChangeofAddress .Detachandkeepthechangeofaddressformforuseasneeded.Itiscriticalyoukeepthe  CourtofAppeal,#A9 #AԀAppellateDefenders,Inc.,andyourappellateattorneyinformedofyour#A #AԀcurrentaddressatalltimes.#A #AT$T$  When: Anoticeofappealmustbefiledwithin 60days fromthedateofthejudgmentororderbeingappealed.    What: #A #AԀWelfareandInstitutionsCodesection395governsappealableorders.Theseincludethejudgment(dispositional k^ order)inproceedingsundersection300andalllaterordersinthoseproceedings.Note:   0  Anorderfindingachildtobeadependentofthejuvenilecourtisnotappealableuntilthecourtdecideswhatthe sf dispositionwillbe.Ifthecourthasnotyetorderedadisposition,itistooearlytoappeal. T$T$ 0  AnorderreferringthecaseforapermanencyplanhearingunderWelfareandInstitutionsCodesection366.26isnot qd" appealable.Suchanorderrequiresawritpetitionunderrules8.450and8.452#A #A#AXA#AAXԀoftheCaliforniaRulesofCourt.#T$T$ #AR#A Where: Filethenoticeofappealinthejuvenilecourtwheretheorderbeingappealedwasmade.Note:Ifthecasewas sf% transferredtoanothercountyfordisposition,thenoticeofappealmustbefiledinthecourtwherethedispositionwasordered, '& evenifonappealyouintendtochallengejurisdictionalfindingsorotherrulingsintheoriginalcounty.   ' ThemaincourthouseshandlingthesecasesineachcountyoftheFourthAppellateDistrictarelistedbelow.(Ifyourcase ') wasnotatthecourthouselistedbelow,checkwithyourattorneyoracourtclerk#A#Aforthefilinglocation.)#A#A   * #AXA#AAX#AXA#AAX([T$T$(0  #A`#ASANDIEGOCOUNTY9 ,, 0  12851Meadowlark,SanDiego,CA92123  - 2792!. 0    0  IMPERIALCOUNTY" 0 0  1#A|#A939MainStreet,ElCentro,CA92243#~!1 0    0  ORANGECOUNTY$"3 0  #A#A1#A#AԀLamoreauxJusticeCenter,#A#A341TheCity %|#4 Drive,SuiteC-207,Orange,CA928683209#A\#A#AXA#AAX3&&$5  &$6 RIVERSIDECOUNTY 9 ,6 1#A#AԀ#A#A9991CountyFarmRoad,Room108,Riverside,CA92503  7 #A #A0   T$T$ SANBERNARDINOCOUNTY 7"* 9 1#A#A860E.GilbertSt.,SanBernardino,CA92415-0955 " : #AV#AINYOCOUNTY0 Q 5$("<QT$QT$ #A#A1#AX#A168NorthEdwardsStreet,Independence,CA93526#A#A $"=  %|#> #A##X*#5T$T$[%5AXX AAXForassistance ,contactAppellateDefenders,Inc.,afirmofappellateattorneysthatmanagestheentiresystemofcourt 1($&> appointedcounselintheFourthAppellateDistrictCourtofAppeal:555WestBeechStreet,Suite300,SanDiego,CA, (&? 92101.Telephone:(619)6960282.Websitewithemailcontacts,forms,ADICaliforniaCriminalAppellatePracticeManual, )'@ andmultipleotherresources:4 v BO  5  http://www.adi-sandiego.com6 BO (  7 *!Ԁ#AXA##XAX#  9*,(A 9  XM X X X MAXX XXAXAX8Xdd8/NINSTRUCTIONSONPAGE2.#AXXA"#ԀAXAXAAThisNoticeofAppealmustbefiledwithin60daysofthedispositionalorderorlaterorderbeing  appealed,inthecountyjuvenilecourtwheretheorderwasmade.Filethebackgroundinformationform(p.3)alongwithit. #AAԗ###YA"#  9ETY5|ET0/!J:6x~ H p &EZ ! t =Ze  $$(1)5|Nameofappellant:6 6 򀀀  #5|&#5|Address(includeI.D.No.ifincustody):#5|&#5|  򀀀  򀀀 : CityStateZip 0n  Phone(ifapplicable):򀀀Dateofbirth:#5|P'#Ԁ d   ET5|ET  SUPERIORCOURTOFTHESTATEOFCALIFORNIA,  )  COUNTYOFET5|ET(2)򀀀 #ET5|*##ET*#Ԉ  R   $$9*ET5|ET(3)#5|+##,#ԀInre򀀀,aMinor򀀀#l,#   )$$N$  9   '   Printchildsname򀀀  Dateofbirth#`-#  ) $$N$#.#    &Otherchildreninvolvedinthisappeal#.#(listnameanddateofbirth):#/#0  #t/#)0$$| ..$$$#|/#(4)#70#SuperiorCourtNo .#~0# 󀀀 w  '     /      7   )4$ |NOTICEOFAPPEAL #|1#Ԁ S ET5|ET(5)#5|2## 2#ԀԀAppellantsrelationshiptominor(s):     7   #2#)bb&$ (Welf.&Inst.Code,300) #%3#Ԁ @  @?  @  @ 0 @G" Ԉ  .&Mother&Father&Other(#3#describe#Ԇ4#):  #4#   7   )  򀀀  )   5ET5|ET(6)#5|6##<6#ԀThisappealisfrom(checkone): Z  33.336&0 ' Ajudgmentmadeatadispositionhearingafterfindingaminortobeadependentofthejuvenilecourt."'$'$ 7&0 ' Anordermadeatareviewhearing,ahearingunderWelf.&Inst.Code,388,orotherhearingafteraminorhasbeendeclareda 2$ dependentchild,affectingreunification,visitation,orotherappealableorder.(Thisisnotanappealfromanorderforapermanency % planhearingunderWelf.&Inst.Code,366.26,whichrequiresawritpetitionunderCal.RulesofCourt,rules8.450&8.452.)F&'$'$ 9&0 ' Ajudgmentterminatingparentalrightsorestablishingaguardianshiporlongtermfostercareandallotherorders(including,butnot }( limitedto,thoseunderWelf.&Inst.Code,388)madeatahearingpursuanttoWelf.&Inst.Code,366.26.&d)'$'$ 5| 7(#5|U;#; 5|7) #5|;#ԀԀDateoforderbeingappealed: $##<#Ԁ ~+ #T=# (8) 󀀀Signatureofappellantorcounsel(required): - $򀀀 | . ^\ '     /     SignatureofAppellantH!H!<$DateofSignature &!d/ #\^># OR 󀀀&Thisappealisauthorizedbymyclient.#Ԭ?#Ԁ$ !0  '     /     ^\SignatureofCounsel(withStateBarno.)H!H!<$DateofSignature#\^ A#Ԉ b" 1 ^\* * $Thefilingofanoticeofappealbycounselisnotanundertakingtohandletheappeal.(Pen.Code,1240.1,subd.(b).)@#\^A# Ԉ .#l!3 # B# #  C#ET5|ETA!k@ d@h$"A(9)#5|lC##ԋC#@ \ MOTIONFORAPPOINTMENTOFCOUNSELԈ $"5  󀀀TheappellantrequeststheCourtofAppealappointanattorneyforappeal.Theappellantdoesnothavesufficientmeanstohireanattorney. %#6 Theappellantandhisorherspouse(ifapplicable)havethefollowingcombinedincomeandproperty: &X$7 #E#̀Takehomepayfromjob(monthly):0 / $򀀀    Trialattorneywas:(Checkone.)'%9/ $/ $ ЀOtherincome(monthly):0  / $򀀀    XX#XX?G#ԀApublicdefenderorcourtappointedattorney.K(&: $ $ ЀMoneyinbankatthistime:0  / $򀀀    XX#XXUH#ԀAnattorneypaidforbyappellant.R)'; $ $ ЀHomeownership?(Checkone.)XX#XXI#ԀYesXX#XXWI#ԀNo   7   XX  #XXI#ԀOther:򀀀 Y*(<  '     /      7      ?      G"  ' IdeclareunderpenaltyofperjuryunderthelawsoftheStateofCaliforniathatthisinformationistrueandcorrect: ,Y*> 򀀀󀀀򀀀 $  -+@  ' Date    /      7 SignatureofAppellant(preferred)orTrialCounsel +.i,A   .$-B /N X   @ Љ11111!C@HH @#N#XINSTRUCTIONSFORFILLINGOUTNOTICEOFAPPEAL#XДN#  X    Pleasefollowtheseinstructionscarefully.Ifyouhaveanyquestions,askyourtrialattorneyorAppellateDefenders,Inc.,forhelp.  JN,O8  Anoticeofappealmustbefiledwithin 60days ofthedispositionalorder(oranorderafterdisposition,ifthat \ orderisbeingappealed).Itisfiledwiththe countysuperiorcourt wherethedispositionalorder(ororder  afterdisposition)wasmade.l8"8" 8  AfindingthatachildisadependentofthejuvenilecourtmaynotbeappealedAuntilthecourtdecideswhat   thedispositionwillbe.#AQ##P#ԀIfadispositionalorderhasnotyetbeenmade,itistooearlytoappeal.j 8"8" #R#Thenoticeofappealformisdesignedtobecompletedeasilybycheckingboxesorfillingintheblankswithyourcase    information.Whereveryouseealinelikethis,򀀀,filltheblankinwiththeappropriateinformation.The  X  numbersbelowrefertothenumbersonthenoticeofappealform: Z   (1)0  Nameandotherinformation :Printyourname.Giveyouraddressatthetimeyoufilethenoticeofappeal.(Usethe  V  changeofaddressformforlaterchanges.)Providephonenumberifapplicableanddateofbirth. ! b $$ (2)0  County :Showthecountywherethedispositionalorder(ororderafterdisposition)inyourcasewasmade.^ $$ (3)0  Childorchildreninvolved :Printthenameanddateofbirthofthechildinvolvedintheappeal.Iftherearemore   thanone,checktheboxandlistthenamesanddatesofbirthoftheothers.p$$ (4)0  Superiorcourtnumber :Showthecasenumber(s)onthenoticeofappealform.Askyourattorneyifyoudonot  knowyoursuperiorcourtnumber(s).Ifyouwereinvolvedinmorethanonecaseatthesametime,includeallofthe x casenumbersyouwanttoappeal. X z"$$ (5)0  Appellantsrelationshiptochild: Checktheappropriateboxshowingwhetheryouarethemotherorfatherofthe v childorchildreninvolved.Ifyouhaveadifferentrelationship,describe.*$$ (6)0  Typeoforderbeingappealed :Oneoftheseboxesmustbechecked.~$$ 0  0$$ Judgmentatadispositionhearing: Checkthisboxifyouareappealingfromjudgmentorderinga 4! dispositionafterafindingthataminorisadependentofthejuvenilecourt."$$   0  Orderatahearingafterdisposition: Checkthisboxifyouareappealinganordermadeatahearingheld <$ afterthedispositionalorder,suchasanorderatareviewhearingorWelfareandInstitutionsCodesection % 388hearingaffectingreunificationorvisitation,orotherappealableorder.Anorderforapermanencyplan B& hearingunderWelfareandInstitutionsCodesection366.26,cannotbeappealedandrequiresawritpetition D' underCaliforniaRulesofCourt,rules8.450and8.452.($$   0  Judgmentterminatingparentalrightsorestablishingaguardianshiporlongtermfostercare. Check B* thisboxifyouareappealinganordermadeatapermanencyplanhearingunderWelfareandInstitutions + Codesection366.26.H,$$ (7)0  Date: Enterinthisblankthedateonwhichthecourtmadetheorderyouareappealing.Ifyouarenotsure,check  . withyourattorneyorwrite, Onoraboutandtheclosestdatethatyoucanrecall.!P/$$ (8)0  Signature: Yoursignatureoryourattorneyssignatureisrequired.Iftheattorneyissigning,theboxindicatingthat " 1 theappealisauthorizedbytheclientmustbechecked.#X!2$$   (9)0  Motionforappointmentofcounsel: Youareentitledtocourtappointedcounselonappealifyoudonothavethe %"4 fundstoretainanattorney.Fillouttheformatthebottomofthenoticeofappeal.%l#5$$  0  H REMEMBER: '$7$$ AAA#ALc# 8  Thenoticeofappealmustbefiledwiththesuperiorcourtnolaterthan 60days fromthedateofthedispositionalorderor v(&9 orderafterdispositionbeingappealed.Ifpossible,keepsomeproofofmailingorfiling.)&:8"8" 9HA#Ad# 8  Sendthenoticeofappealtothe superiorcourt ofthecountywhereyourcasetookplace.Ifyourcasewastransferredto J*'< anothercountyfordisposition,thenoticeofappealmustbefiledinthecountywherethedispositionorderwasmade.*(=8"8" A#Aԅf# 0  Besuretocompleteandfile allsections ofthenoticeofappeal,motionforappointmentofcounsel,andbackgroundinformation  ,)? form.,h*@$$ A#AԦg# 0  ADetachandkeepthe changeofaddress formforuseasneeded.ItiscriticaltokeeptheCourtofAppeal,#Ah#AԀAppellateDefenders,Inc., -+B andyourappellateattorneyinformedofyourcurrentaddressatalltimes.#AAkc##Ah#.<,C$$ 9H  ./,D X I5!8@5q XqX I X Xq@@  AX BACKGROUNDINFORMATION #AXj#XԈ 1 XX@ #XXXcj#XX TobefiledalongwithNoticeofAppeal(page1) #Wk##XXk#XXXԈ R #XXXFl#@JG@I1111!j@&+w%XX &+w%%&+w@%&+wTHEINFORMATIONONTHISFORMWILLBEAPARTOFTHEPUBLICRECORD@@ANDISNOTCONFIDENTIAL. #&+w%2m#Ԉ / #&+w%%&+wm#  &+w%%&+w%&+wName:򀀀Dateofbirth:򀀀Superiorcourtno. 8$򀀀 . #5n#Currentaddress:;;$#ro#@$$N$#zp##&+w%Tn#%&+wԈ   WW$#&+w%q#%&+wCityStateZip#p#Ԉ &   #&+w%~q##&+w%%&+wr#&+w%%&+w%&+wIfapplicable:Bookingorinmateno.:򀀀#s##&+w%6s#%&+wԀ#s##&+w%t#  %&+wPhone:򀀀??$A.K.A:򀀀#t##&+w%tt#  %&+wԈ ~  #&+w%u# #&+w%&+wLu#&+wAh#hA:v##&+w%hv#A&+w%&+wAA&+w0  *Important: YoumusttellAppellateDefenders,Inc.,theCourtofAppeal,oryourappellateattorneywheneveryour  M  addresschanges.Ifyoufailtodothis,yourcasemaybedelayedor#>AԠv#A>lost.Changeofaddressformsareattached.#>Aw#A>#A&+w%>AԿv#AA&+w $$  #AQx##&+w%x#%&+wFamilymemberorfriendwhowillalwaysknowyouraddress: 7    Nameandrelationship:򀀀0  $$$$Phone:򀀀 T   _Address_:򀀀#&+w%=y#%&+wCity#x#ԀStateZip#&+w%T{#%&+wԀ q #&+w%,|#%&+w#{#Trialattorney: 1 #|#  Name:򀀀0  $$$$Phone:򀀀 N #&+w%|##&+w%%&+w/}#&+w%%&+w%&+w  Address:򀀀#&+w%~#%&+wCity#Ԉ~#ԀStateZip#&+w%R#%&+wԀ k #&+w%*##&+w%%&+w#&+w%%&+w%&+wProceedingappealedfrom:  #騀##&+w%ǀ#A&+w%%&+wA%A&+w&#A&+w%Ay#A%A&+w#AZ#AԀDispositionalorder.&#A#A#A&+w%A#A%A&+wԀOrderatreviewhearing,hearingunderWelf.&Inst.Code,388,otherorder_____________.  &#Ac#A#A&+w%A#A%A&+wԀTerminationofparentalrightsororderorguardianshiporlongtermfostercareunderWelf.&Inst.Code,366.26. !   Describebasisforfindingsandnatureoforderappealedfrom: U# :Didyouneedaninterpreterincourt?#As##&+w%#%&+wԀ#*#A#A&+w%Al#A%A&+w&#A##&+w%#%&+wԀYes#z#A#A&+w%A[#A%A&+w&#AÆ##&+w%#&+w%%&+w%&+wԀNo.Ifyes,inwhatlanguage?##$#n##&+w%鍇#A&+w%%&+wA%A&+w򀀀 K' #A$##&+w%C#%&+wDoyouhavenow,orhaveyoueverhad,anyrelatedappeals,writsorotherproceedingsbeforethisoranyother o* Californiaappellatecourt?##A#A&+w%A<#A%A&+w&#A2##&+w%t#%&+wԀYes##A#A&+w%A݊#A%A&+w&#AE##&+w%#&+w%%&+w%&+wԀNo.Ifyes,givecasetitle,number,anddates,anddescribeproceedings: 9+ ##99$򀀀 , #鳌#99$򀀀  2. ###&+w%#[&+w%%&+w%&+w،Namesofotherpartiesandtheircounsel: "a0 #U##&+w%t#%&+w99$򀀀 " 1 #O#99$򀀀 # #&+w%XЎ# #&+w%%&+wo#A&+w%%&+wA%A&+w@ #A&+w%Aw#A%A&+w!DETACHFROMNOTICEOFAPPEALANDKEEPFORUSEASNEEDED! #AX##&+w%˛#%&+wԈ   ! #&+w%#X%&+w <$     #&+w%X#Onceanoticeofappealisfiled,itisimportantthattheCourtofAppeal,yourappellateattorney,and A AppellateDefenders,Inc.,knowyourcurrentaddressatalltimeswhiletheappealispending.#&+w%%&+w`#&+w%%&+wItisyour  r responsibilitytoprovideyourcorrectaddress.Ifyoufailtodothat,yourappealmaybedelayedor  F  dismissed.X%&+w#XXn#XX    @D D #&+w%X7#%&+wYoudonothavetousetheformsbelow,buttheymaymakeiteasiertoprovidetheinformation.#&+w%#X%&+wԀ   #&+w%XЅ#X%&+wAW) xd@Elx08"A y  #&+w%Xޠ##&+w%%&+wy#&+w%%&+wX%&+w@# #&+w%Xй##&+w%%&+w#&+w%%&+wCHANGEOFADDRESSX%&+w    #&+w%Xk#AppealNumber(ifknown):򀀀󀀀%Date:򀀀 l YourName:򀀀󀀀H5%I.D.#(ifincustody):򀀀 q #&+w%%&+w5#&+w%%&+wNewAddress:X%&+w%򀀀  #XXФ#XX#&+w%XϤ#X%&+wԀ   #&+w%X#%&+w#Ծ#CityStateZip  #&+w%##&+w%%&+w.#&+w%%&+w  %&+wMailto:0   t AppellateDefenders,Inc.o%%      t 555WestBeechStreet,Suite300       t SanDiego,CA921012939 f #&+w%#Besuretonotifyyourattorney,too,ifanattorneyhasbeenappointedtoyourcase. A  @ii$%&+w(DETACHHERE)#&+w%v#Ԉ `# AW) xdEl 08"A#&+w%%&+w#X%&+wXX  -% #&+w%XD##&+w%%&+wc#&+w%%&+wX%&+w@# #&+w%X#CHANGEOFADDRESSX%&+w  !T' #&+w%Xe#AppealNumber(ifknown):򀀀󀀀%Date:򀀀 #(!) YourName:򀀀󀀀H5%I.D.#(ifincustody):򀀀 s%"+ #&+w%%&+wޫ#&+w%%&+wNewAddress:%򀀀 'x$- #&+w%%&+w#&+w%%&+w򀀀 ( &/ %&+w#ԭ#CityStateZip )&0 #ΰ##&+w%Ԍ#  %&+wMailto:0   t AppellateDefenders,Inc.+b(2%%      t 555WestBeechStreet,Suite300 + )3      t SanDiego,CA921012939 Y,)4 #&+w%P#Besuretonotifyyourattorney,too,ifanattorneyhasbeenappointedtoyourcase. -4+6 #&+w%%&+w#