Appellate Docket Number:  ___________________________________________ COURT OF APPEALS SECOND DISTRICT OF TEXAS FORT WORTH DOCKETING STATEMENT (CRIMINAL) [To be filed in the Court of Appeals upon perfection of appeal under TRAP 32]
I.          Parties (TRAP 32.2(a)):
Appellant (or Appellee, if State is appealing): G Appellant is out on bond (amount: ___________). G Appellant is currently incarcerated. (See note at bottom of page)				Co-defendant(s):
Trial Attorney: Appointed  G       Retained  G				Appellate Attorney: Appointed  G       Retained  G If appointed, was a hearing on indigency held? Yes  G                  No  G
Address:				Address:
Telephone Number (include area code):				Telephone Number (include area code):
Fax Number (include area code):				Fax Number (include area code):
SBN:				SBN:
If not represented by counsel, provide appellant’s (appellee’s, if State is appealing) address, telephone number, and fax number.
II.            Perfection Of Appeal, Judgment, And Sentencing (TRAP 32.2(b), (d), (f), (g), (h), (i), (j), (k)):
Date trial court imposed or suspended sentence in open court or date trial court entered appealable order: (Attach a signed copy, if possible.)			Date notice of appeal filed in trial court: (Attach file-stamped copy; if mailed to the trial court clerk, also give the date of mailing.)
Does the appeal involve a constitutional challenge to a Texas statute?  Yes   G       No   G If Yes, identify the following:      Statute being challenged:      Basis for the challenge:
III.          Actions Extending Time To Perfect Appeal (TRAP 32.2(e)):
Action						Filed
Motion for New Trial						G
Motion in Arrest of Judgment						G
Other (specify):						G
IV.          Indigency Of Party (TRAP 32.2(n)) (attach file-stamped copy of motion and affidavit):
Motion and affidavit filed    G   No        G Yes
Date of hearing:                                                                          Date of order:
Ruling on motion:  Granted  G         Denied  G                Date: ___________________
V.            Trial Court And Record (TRAP 32.2(c), (l), (m)):
Court:	County:				Trial Court Docket Number (Cause No.):
Trial Judge (who tried or disposed of case): Telephone Number (include area code): Fax Number (include area code): Address:			Court Clerk (district or county clerk): Telephone Number (include area code): Fax Number (include area code): Address:
Clerk’s fee has been paid or satisfactory arrangements made?     Yes    G        No    G If no, explain:
Court Reporter or Court Recorder:                  Telephone Number                                          Fax Number (include  area code):                                           (include area code): Address:                (Attach additional sheet if necessary for additional court reporters/recorders.)
Reporter’s or Recorder’s Record (check if electronic recording   G)		None    G	Will request G		Was requested on:
State arrangements made for payment of court reporter/recorder:

VI. Related Matters:  List any pending or past related appeals before this or any other Texas appellate court by court, docket number, and style.

VII.     Certificate of Service:  The undersigned counsel certifies that this docketing statement has been served on the following lead counsel for all parties to the trial court’s order or judgment as follows on ______________________, ______ by G mail  G hand deliver  G fax  G other _____________:

_________________________________               Date: _______________________________

Signature of counsel (or pro se party)

_________________________________               State Bar No.: ________________________

Printed Name