RAP FORM 1: NOTICE OF APPEAL (TRIAL COURT DECISION)

(Rule 5.3(a))

SUPERIOR COURT OF WASHINGTON FOR ( _____________) COUNTY

(Name of plaintiff), ) No. (trial court)

Plaintiff, )

v. ) NOTICE OF APPEAL TO

(Name of defendant), ) (COURT OF APPEALS or

Defendant. ) SUPREME COURT)

(Name of party seeking review), (plaintiff or defendant), seeks review by the designated appellate court of the (Describe the decision or part of decision which the party wants reviewed: for example, "Judgment", "Paragraph 4 of the Marriage Dissolution Decree".) entered on (date of entry.)

A copy of the decision is attached to this notice.

(Date)

_____________________________________

Signature

Attorney for (Plaintiff or Defendant)

(Name, address, telephone number, and Washington State Bar Association membership number of attorney for appellant and the name and address of counsel for each other party should be listed here. In a criminal case, the name and address of the defendant should also be listed here. See rule 5.3(c).)