You have twenty (20) days from the date of the decision to file a written notice of appeal. You may use this document, by marking the appropriate lines below and following the instructions fully, as your written notice of appeal.

THIS DOCUMENT MUST BE FILED AND YOU MUST PAY THE APPROPRIATE FEES WITHIN 20 DAYS OR YOU WILL LOSE YOUR RIGHT TO APPEAL. IF YOU PROPERLY FILE YOUR APPEAL, YOUR APPEAL WILL BE ASSIGNED TO A CIRCUIT COURT JUDGE. IT IS YOUR RESPONSIBILITY TO MAKE SURE WE HAVE YOUR CORRECT ADDRESS SO THAT NOTICES WILL BE SENT TO THE PROPER ADDRESS.

If you wish to appeal the decision of the municipal court, you must choose one of the following options:

• 1. I want the circuit court judge to review a certified transcript of the tape recording of the municipal court trial. The circuit court judge will review the transcript, the tape and any documents submitted as evidence in the trial and then issue a decision. ($117.00 payable to Clerk of Courts of Dane County, plus $10.00 payable to Monona Municipal Court.

• 2. I want the circuit court judge to schedule a new trial, without a jury. I understand I must bring all witnesses and other evidence to such a trial. These witnesses can be the same or different from those present at the municipal court trial, but the circuit court judge will base the decision on the evidence admitted at that new trial. ($132.00 payable to the Clerk of Courts of Dane County).

• 3. I want the circuit court judge to schedule a new trial, with a six person jury. I understand I must bring all witnesses and other evidence to such a trial. These witnesses can be the same or different from those present at the municipal court trial, but the jury will base its decision on the evidence admitted at the new trial. ($168.00 payable to the Clerk of Courts of Dane County).

I hereby request an appeal as marked above. I understand that I am bound to sign a bond with (or without) surety, approved by the municipal judge and that I must pay the amount of judgment plus costs awarded on appeal should I lose the appeal. I also have paid the above described required fees.

Defendant: ________________________________________

Citation/Case Number:_______________________________

Address: __________________________________________

Dated: ____________________________________________

cc: City Attorney

Note: This appeal must be filed with the Municipal Court Clerk within 20 days of the judgment being appealed.

If you require the assistance of auxiliary aids or services because of a disability, call (608) 222-0463 and ask for the court clerk.