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ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address): FOR COURT USE ONLY

TELEPHONE NO.: FAX NO. (Optional): E-MAIL ADDRESS (Optional): ATTORNEY FOR (Name): SUPERIOR COURT OF CALIFORNIA, COUNTY OF IMPERIAL 939 West Main Street, El Centro, CA 92243 2124 Winterhaven Drive, Winterhaven, CA 92283

PLAINTIFF: DEFENDANT(S) CASE NUMBER: NOTICE OF APPEAL; NOTICE OF FILING OF APPEAL SMALL CLAIMS (Code of Civil Procedure § 116.710)

To: Plaintiff (Name and address): To: Defendant (Name and address):

To: Plaintiff (Name and address): To: Defendant (Name and address):

NOTICE OF APPEAL

I appeal to the superior court, as provided by law from the small claims judgment, or the denial of the motion to vacate the small claims judgment. Date Appeal Filed (clerk to insert date):

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(TYPE OR PRINT NAME OF APPELLANT) (SIGNATURE OF APPELLANT OR APPELLANT’S ATTORNEY)
I am an insurer of defendant (name) ________________________________ in this case. The judgment against

defendant exceeds $2,500, and the policy of insurance with the defendant covers the matter to which the judgment applies.

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(NAME OF INSURER) (SIGNATURE OF DECLARANT)
NOTICE OF FILING OF APPEAL

Your small claims case has been APPEALED to La decisión hecha por la corte para reclamos judiciales menores en the superior court. Do not contact the small claims su caso ha sido APELADA ante la corte superior. No se ponga en court about this appeal. The superior court will contacto con la corte para reclamos judiciales menores acerca de notify you of the date you should appear in court. esta apelación. La corte superior le notificar las fecha en que usted The notice of appeal is set forth below. debe presentarse ante ella. El aviso de la apelación aparece a continuación.

Date: _________________ Maria Rhinehart, Clerk by ________________________________, Deputy Clerk

CLERK’S CERTIFICATE OF MAILING

I certify that I am not a party to this action. This Notice of Appeal and Notice of Filing of Notice of Appeal were mailed first class, postage prepaid, in a sealed envelope to plaintiff defendant at the address(es) stated above. The mailing and this certification occurred at (place) _______________, California on (Date): ________.

Date: _________________________ Maria Rhinehart, Clerk of the Court

by ________________________________, Deputy Clerk

Form Approved for Optional Use imperial.courts.ca.gov SC-02 (Adopted 01/01/11, NOTICE OF APPEAL; Revised 07/01/19, 01/01/24) NOTICE OF FILING OF APPEAL