Proposed Statement on Appeal (Limited Civil Case) (APP-104)

Give the trial court and the other parties in an appeal in a limited civil case  your draft summary of the oral (spoken) proceedings in the case in the trial court (proposed statement on appeal). Use this form only if you are the appellant and you chose to use a statement or appeal in your notice designating the record on appeal. You must use this form if you are preparing a proposed statement on appeal and you are not represented by an attorney for the appeal.