Wyoming Judicial Branch



STATE OF WYOMING )IN THE CIRCUIT COURT ) SSCOUNTY OF ___________ )_________ JUDICIAL DISTRICTTHE STATE OF WYOMING,)) Plaintiff,))vs.) Criminal No. ____________________) _________________________, )) Defendant.)NOTICE OF APPEALAND CERTIFICATION OF RECORDCOMES NOW the above-named Defendant, by and through his/her counsel, and pursuant to Rule 2.01 of the Wyoming Rules of Appellate Procedure, hereby gives notice of his/her intention to appeal to the District Court the Judgment and Sentence of the Court rendered on the ______ day of ___________, 20___, by the Honorable ___________ _____________, Circuit Judge, ___________ Judicial District. The undersigned counsel certifies that on the _____ day of ____________, 20___, he/she ordered a recording of all proceedings in the aforementioned case, by sending a letter, postage prepaid, to the clerk of the circuit court who recorded the proceedings, requesting that said recording be prepared.DATED this ____ day of ____________, 20___. __________________________________ATTORNEYWyoming State Bar No. Attorney for DefendantAddress ___________________________City, State, Zip______________________Phone _____________________________CERTIFICATE OF SERVICEThe undersigned hereby certifies that on the _____ day of ________, 20___, he/she caused a true and correct copy of the foregoing to be served upon the following via first class United States mail, postage prepaid.District AttorneyAddress ___________________________City, State, Zip _____________________________________________________ATTORNEY NAME [Note: Attach copy of Judgment and Sentence, or other appealable Order (as defined in Rule 1.05) to the Notice of Appeal. You can be sanctioned for noncompliance with this rule.]STATE OF WYOMING )IN THE CIRCUIT COURT ) SSCOUNTY OF ________ )_________ JUDICIAL DISTRICTTHE STATE OF WYOMING,)) Plaintiff,))vs.) Criminal No. __________________) _________________________, )) Defendant.)MOTION FOR LEAVE TO PROCEED ON APPEAL IN FORMA PAUPERISAND FOR APPOINTMENT OF COUNSELCOMES NOW , the above-named Defendant, by and through his/her counsel, , and respectfully moves this Court for leave to proceed on appeal in forma pauperis, pursuant to Rule 2.09 of The Wyoming Rules of Appellate Procedure. An affidavit of indigency is attached hereto. The Defendant seeks leave to proceed in forma pauperis as to all costs and fees of the appeal, including attorney's fees, court costs, and costs of the record and transcript on appeal, and for the Office of the State Public Defender to be appointed to represent Defendant on appeal, correction or modification of sentence.DATED this _____ day of _________________, 20___.__________________________________ATTORNEYWyoming State Bar No. Attorney for DefendantAddress ___________________________City, State, Zip______________________Phone _____________________________CERTIFICATE OF SERVICEI hereby certify that on this _____ day of _____________, 20___, I caused a true and correct copy of the foregoing Motion for Leave to Proceed on Appeal in Forma Pauperis to be served upon the following via first class United States mail, postage prepaid:District AttorneyAddress ___________________________City, State, Zip ____________________________________________________ATTORNEY NAME[Note: According to Rule 2.09 the defendant must file an affidavit of indigency.]STATE OF WYOMING )IN THE CIRCUIT COURT ) SSCOUNTY OF ________ )_________ JUDICIAL DISTRICTTHE STATE OF WYOMING,)) Plaintiff,))vs.) Criminal No. ____________________) _________________________, )) Defendant.)ORDER GRANTING LEAVE TO PROCEED ON APPEALIN FORMA PAUPERIS AND APPOINTING COUNSELTHIS MATTER having come before this Court on the Defendant's Motion to Proceed in Forma Pauperis; the Court, being fully advised in the premises:IT IS HEREBY ORDERED that the Defendant be allowed to proceed on appeal in forma pauperis, as to all costs and fees associated with the appeal, including attorney's fees, court costs, and costs of the record and transcript on appeal. Trial counsel is hereby allowed to withdraw and the State Public Defender’s Office is hereby appointed pursuant to Wyo. Stat. § 7-6-104(c)(vi) to represent the Defendant on appeal, correction or modification of sentence.DONE IN OPEN COURT this ____ day of , 20___. ________________________________NAMECIRCUIT COURT JUDGE Month/Date/YearClerk Judicial District (address) Dear ____________: Pursuant to Rule 2.05 of the Wyoming Rules of Appellate Procedure, as amended, I would like to request that the State of Wyoming v. __________, Criminal No. _____, in the ________________ Judicial District be prepared. Please include all proceedings that you may have recorded in this matter.The Order to Proceed on Appeal in forma pauperis has been delivered to Judge ________ for his/her signature. Therefore, the recording will be paid for by _____________ County pursuant to W.S. § 7-11-506.Please let me know if you have any questions or anticipate any problems with the timely filing of the recordings.Thank you for your assistance.Sincerely,Name (Title)XXX/xx ................
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