*0 FILED IN 6th COURT OF APPEALS TEXARKANA, TEXAS 11/16/2015 11:23:26 AM DEBBIE AUTREY Clerk *1 COURT REPORTER’S REQUEST FOR EXTENSION OF TIME
THIS RECORD IS DUE ON _____________ THIS RECORD WAS ORIGINALLY DUE ON _____________ I AM REQUESTING ________ DAYS THIS RECORD IS APPROXIMATELY _____ PAGES LONG IS THIS APPEAL ACCELERATED? ___YES ___NO SIXTH COURT OF APPEALS CAUSE NO. ______________________________________
STYLE OF CASE: ____________________________________________________________
TRIAL COURT _______________________________________________________________
TRIAL COURT CAUSE NO.____________________________________________________
I am responsible for preparing a record in this appeal, but am unable to file the record by the
original due date for the following reason(s): (Check all that apply – attach additional pages if necessary.)
To the best of my knowledge, the Appellant has made no claim of indigence, or has been
found to be not indigent, and has failed to either pay the required fee or to make arrangements to pay the fee for preparing the record.
My duties listed below preclude working on this record: __________________________
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________________________________________________________________________
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________________________________________________________________________ ________________________________________________________________________ __ ______________________________________________________________________
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Other (explain): __________________________________________________________
________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ *2 In compliance with T EX . R. A PP . P. 9.5(e), I certify that a copy of this notice has been served on
counsel for all parties to the trial court’s judgment or order being appealed. I further certify by
my signature below that the information contained in this notice is true and within my personal
knowledge.
______________________________ ___________________________________
Date Signature
______________________________ ___________________________________
Office Phone Number Printed Name
______________________________ ___________________________________
E-mail address (if available) Official Title
The following parties have been served with a copy of this document:
(Information may be either printed or typed.)
Lead Counsel for Appellant(s): Lead Counsel for Appellee(s):
Name: ___________________________ Name: _____________________________
Address: _________________________ Address: ___________________________
_________________________________ __________________________________
Phone No. ________________________ Phone No. _________________________
Attorney for: _____________________ Attorney for: _______________________
FAX TO: Molly Pate (Deputy Criminal Clerk) or Kim Robinson (Deputy Civil Clerk) Sixth Court of Appeals, Texarkana, at 903 798-3034
(to be followed by a printed version by mail)
