UNITED STATES DISTRICT COURT

FOR THE DISTRICT OF NEBRASKA

NOTICE OF APPEAL (Criminal)

United States of America,	)

)

Plaintiff,	)	District Court Case Number

)

vs.	)

)

______________________________,	)

)

Defendant.	)

Notice is hereby given that ________________________________________________ _____________________________ appeals to the United States Court of Appeals for the Eighth Circuit from the:

Judgment & Commitment

Order (Specify) ______________________________________________________

______________________________________________________________________

entered in this action on (Specify date(s)) __________________________________________

s/

Attorney or Pro Se Defendant

CERTIFICATE OF COMPLIANCE

I hereby certify that:

1.	I have filed or served copies of this notice of appeal upon the United States District Court and all counsel of record.

2.	I have completed and attached an Information Sheet to this Notice of Appeal.

____________________	s/__________________________________

Date	Attorney or Pro Se Defendant

INFORMATION SHEET - CRIMINAL

TO BE COMPLETED BY ATTORNEY FOR APPELLANT

1.	Defendant's Address:

2.	Date of Verdict:

Jury	Non-Jury Bail Status

Offenses:

Trial Testimony - Number of Days

3.	Sentence and Date Imposed:

4.	Appealing:	Sentence ________ Conviction ________ Both ________

Challenging:	________	Application of Sentencing Guidelines

________	Constitutionality of Guidelines

________	Both Application and Constitutionality

5.	Date Trial Transcript ordered by Counsel or District Court:

Name, Address, and Phone Number of Court Reporter or Transcriber in Charge of Preparing Transcript:

6.	Trial Counsel was:	________ Appointed	________Retained

Does Defendant's financial status warrant appointment of counsel

on appeal?	________ Yes	________ No

Affidavit of Financial Status filed: _________________________________

Is there any reason why trial counsel should not be appointed as

counsel on appeal? ________ Yes	________ No

7.	Name and Phone Number of Assistant U.S. Attorney: _____________________