Fillable Internal Use Only AOC-070 Rev. 6-20 APPELLANT CR (Administrative Office of the Courts)

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Internal Use Only AOC-070 Rev. 6-20 APPELLANT CR (Administrative Office of the Courts)

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APPELLANT
VS. COURT OF APPEALS DOCKET NO. _______________________________ (leave blank)
APPELLEE
KENTUCKY COURT OF APPEALS
CIVIL APPEAL PREHEARING STATEMENT
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AOC-070
Rev. 6-20
Page 1 of 2
Commonwealth of Kentucky
Court of Justice
www.kycourts.gov
CR 76.03(3) and (7)
1. Has this case been before an Appellate Court previously? Yes No
If Yes, provide date and prior case number(s) _______________________________________________________
2. Type of litigation (
type of order; e.g., automobile negligence, breach of contract, domestic, product liability, property
dispute, tax, UCC, zoning, etc.
). Attach copy of complaint or other document initiating Circuit Court action.
___________________________________________________________________________________________
___________________________________________________________________________________________
3. Was this case mediated at the trial court level? Yes No
Appeal From ___________________________ Circuit Court Action No. __________________________________
Trial Judge: _____________________________ Judgment/Order Appealed From Entered: ____________________
Notice of Appeal Filed: ________________________ Notice of Cross Appeal Filed: ___________________________
Internal Use Only
Identifying Information Regarding Counsel for APPELLANT:
Name of Client _______________________________________________________________________________
___________________________________________________________________________________________
In the trial court, this party was the Plaintiff Defendant Other (specify) _____________________________
Attorney’s Name: _____________________________________________________________________________
Address: ____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
Telephone No. _________________________________ Email: ___________________________________
( )
Identifying Information Regarding Counsel for APPELLEE:
Name of Client _______________________________________________________________________________
___________________________________________________________________________________________
In the trial court, this party was the Plaintiff Defendant Other (specify) _____________________________
Attorney’s Name: _____________________________________________________________________________
Address: ____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
Telephone No. _________________________________ Email: ___________________________________
( )
4. Circuit Court Disposition (type of order; e.g., Default or Summary Judgment, Dismissal, etc.). Attach copy of final judgment
and any separate written opinion by trial court.
___________________________________________________________________________________________
___________________________________________________________________________________________
AOC - 070
Rev. 6-20
Page 2 of 2
CERTIFICATION
I/We hereby certify a copy of the foregoing statement was executed and a copy served on:
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
Date: ________________________, 2______. _____________________________________________
Signature
Print Name: _________________________________________________________________________________
Address: ___________________________________________________________________________________
NOTES: 1) Items 2 and 4 on page 1 require documents to be attached to this Form for proper fi ling.
2) Item 10 on page 2 may require an additional motion which must be attached to this Form for proper fi ling.
3) Filing of Civil Notice of Appeal suspends running of time for further appeal steps-See CR 76.03(3).
6. Facts and Issues: (Brief statement of facts, claims, defenses and issues litigated. Attach separate sheet if necessary).
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
7. Briefly state issues proposed to be raised on appeal, including jurisdictional challenges, and any question of first
impression. Attach separate sheet if necessary.
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
8. Will the appeal turn on interpretation or application of a particular case or statute? Yes No
If Yes, identify case/statute: _____________________________________________________________________
9. Is there any known case involving substantially the same issue now pending before either appellate court of this
state? Yes No If Yes, give Case Number: ________________________
Case Name: _________________________________________________________
10. Any party who desires a prehearing conference must file a motion with the prehearing statement. Failure to file a
motion may result in no prehearing conference. CR 76.03(7). Either party may file an objection to said motion
within 10 days.
5. Relief: (a) Damages: Amount Sought $ _________________ Amount Granted $_________________
(b) Injunction: Granted Denied
(c) Other: ___________________________________________________________________________
___________________________________________________________________________
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Internal Use Only AOC-070 Rev. 6-20 APPELLANT CR (Administrative Office of the Courts)

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Completed 20 July 2020

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