§ Form No. 5 Petition in error

Form No. 5. Petition in error

    IN THE SUPREME COURT OF THE STATE OF OKLAHOMA

    ___________________________________                       )

    ___________________________________,                       )

    )

    Plaintiff/Appell_____,

    )

    vs.                                                                                  )              No. _______________

    ___________________________________                         )

    ___________________________________,                        )

    )

    Defendant/Appell_____.

       )

    PETITION IN ERROR

    _____PETITION IN ERROR

    _____AMENDED OR SUPPLEMENTAL PETITION

    _____CROSS PETITION

    _____COUNTER-PETITION

    DATE FIRST PETITION IN ERROR FILED:

    _____________________________________________________________________________.

    I. TRIAL COURT HISTORY

    COURT/TRIBUNAL: ______________________________________________________________

    COUNTY: ______________________________________________________________________

    CASE NO.: ____________________________________________________________________

    JUDGE: _______________________________________________________________________

    NATURE OF

    CASE: ______________________________________________________________________

    (e.g., Divorce, Personal Injury)

    NAME OF PARTY OR PARTIES FILING THIS PETITION IN ERROR:

    THE APPEAL IS BROUGHT FROM: (Check one)

    _____ Judgment, Decree or Final order of District Court.

    _____ Appeal from order granting summary judgment or motion to dismiss where motion filed after October 1,

    1993 (Accelerated procedure under Rule 1.36).

    _____ Appeal from Revocation of Driver's License (Rule 1.21(b)).

    _____ Final Order of Other Tribunal.

    (Specify Corporation Commission, Insurance Department, Tax Commission, Court of Tax Review, Banking
Board or Banking Commissioner, etc.

    _________________________________________________________________)

    _____ Interlocutory Order Appealable by Right.

    _____ Other _______________________________________________________________________

    II. TIMELINESS OF APPEAL

    1. Date judgment, decree or order appealed was filed:

    _________________________________________________________________________.

    2. If decision was taken under advisement, date judgment, decree or order was mailed to parties: __________

    3. Does the judgment or order on appeal dispose of all claims by and against all parties? ____ Yes ____ No.

    If not, did district court direct entry of judgment in accordance with 12 O.S. Supp.1995 § 994? ____ Yes ____ No.

    When was this done? __________

    4. If the judgment or order is not a final disposition, is it appealable because it is an Interlocutory Order Appealable by
Right? ____ Yes ____ No.

    5. If none of the above applies, what is the specific statutory basis for determining the judgment or order is appealable?

    _________________________________________________________________________

    6. Were any post-trial motions filed?

    Type                                                            Date Filed                                      Date Disposed

    ________________________                ________________________            ________________________

    ________________________              ________________________               ________________________

    ________________________                ________________________               ________________________

    7. This Petition is filed by:

    ____ Delivery to Clerk, or

    ____ Mailing to Clerk by U.S. Certified Mail,

    Return Receipt Requested, on

    _____________________________________________

                                                                                (Date)

    III. RELATED OR PRIOR APPEALS

    List all prior appeals involving same parties or same trial court proceeding:

    List all related appeals involving same issues: _____________________________

    _____________________________

    (Identify by Style, Appeal Number, Status, and Citation, if any.

    If none, so state.)

    IV. SETTLEMENT CONFERENCE

    Is appellant willing to participate in an attempted settlement of the appeal by predecisional conference under Rule 1.250? ___ Yes ___ No

V. RECORD ON APPEAL

    _____ A Transcript will be ordered.

    _____ No Transcript will be ordered because no record was made and/or no transcript will be necessary for this appeal

    _____ A Narrative Statement will be filed

    _____ Record is concurrently filed as required by Rule 1.34 (Driver's License Appeals, etc.) or Rule 1.36 (Summary
judgments and motions to dismiss granted).

    VI. JUDGMENT, DECREE OR ORDER APPEALED--EXHIBIT “A”

    (Attach as Exhibit “A” to the Petition in Error a certified copy of the judgment, decree or order from which the appeal is taken. If a post-trial motion extending appeal time under Rule 1.22 was filed, a certified copy of the order disposing of the motion must be attached also.)

    VII. SUMMARY OF CASE--EXHIBIT “B”

    Attach as Exhibit “B” a brief summary of the case not to exceed one 8 1/2 ” x 11” double spaced page.

    VIII. ISSUES TO BE RAISED ON APPEAL--EXHIBIT “C”

    Attach as Exhibit “C” the issues proposed to be raised. Include each point of law alleged as error. Avoid general statements such as “Judgment not supported by law.”

    IX. NAME OF COUNSEL OR PARTY, IF PRO SE

    ATTORNEY FOR

    APPELLANT

                                                                        ATTORNEY FOR

                                                                 APPELLEE

    Name: ______________________________________                Name: ______________________________________

    OBA No.: ______________________________________         OBA No.: ______________________________________

    Firm: ______________________________________                 Firm: ______________________________________

    Address: ______________________________________           Address: ______________________________________

    ______________________________________                                     ______________________________________

    Telephone: ______________________________________     Telephone: ______________________________________

    DATE: __________________ 19___

    Verified by: ___________________________________________

    (Signature of Attorney or Pro Se Party)

    Firm: ___________________________________________

    Address: ___________________________________________

    ___________________________________________

    Telephone: ___________________________________________

    X. CERTIFICATE OF MAILING TO ALL PARTIES AND COURT CLERK

    I hereby certify that a true and correct copy of the Petition in Error was mailed this ___ day of _______, 19___ to

    (Name and Address of Each Party or Counsel)

    by depositing it in the U.S. Mails, postage prepaid.

    I further certify that a copy of the Petition in Error was mailed to, or filed in, the Office

    of ____________________________________________________________________________

    (Court Clerk or Other Tribunal)

    on the ____ day of __________, 19___.

    ________________________________________________________________________________

    Adopted July 10, 1996

    Effective January 1, 1997

    Heading renumbered by order of May 5, 2005, which added a new Part IX.