RequestCal. Super. - 6th Dist.August 19, 2021'} 3‘r“! ‘ Request for Court-Appointed Lawyer in Misdemeanor Appeal Instructions - This form is only for requesting that the court appoint a lawyer to represent a defendant in a misdemeanor appeal. . I . - Before you fill out this form, read Information 0n Appeal Proceduresfor Miédemeanors (form CR-131-INFO) to know your rights and responsibilities. You can get form CR-131-INFO at anycourthouse or county law library or online at www.courts.ca.gov/f0rms. - The court is required to appoint a lawyer to represent you ifyou are indigent (you cannot afford to pay for a lawyer) and: (1) You were convicted and your punishment includes going to jail or paying a fine of more than $500 (including penalty and other assessmjents); or (2) You are likely to suffer other negative consequences from the conviction (for example, immigration problems or inability to get or keep a license or permit); or (3) You have not been convicted but you are likely to suffer significant harm ifyou lose the appeal. o 'Fill out this form and make a copy of the completed form for your records. ° Take or mail the completed form to the clerk’s office for the same trial court where the notice of appeal was filed. It is a good idea to take or mail an extra copy to the clerk and ask the clerk to stamp it to show that the original has been filed. ' You fill in the name and street address of the coutt that issued thejudgment or order you are appealing: ' , Superior Court of California, County of Santa Clara Santa Clara Hall of Justice 190 W. Hedding Street San Jose, CA 951 10 You fill in the number‘and name of the trial coulrt case in which you are appealing thejudgment pt order: ‘ ¢ Trial Court Case Number: C2100379 Trial Court Case Name: People v. Cisneros You fill in the appellate division case number (if you know it): Appellate'Division Case Number: _ 21AP002745 G) Your Information x a. Name of Defendant (the party who is filing this request): Name: Lili Teresita Cisneros Street address: 1360 Lexington Unit E12 San Jose CA 951 17 Street City State Zip I I Mailing address (ifdz'flerem); 6025 Salida Del So San Jose CA 95123 ‘ Street City State Zip Phone: 669-666-1616 Email: ‘ b. Defendant’s lawyer (skip this z'fthe defendafit is filling out thisform): Name: Kelley Kulick State Bar number: 199413 Street address; 120 W. Mission Street San Jose CA 951 10 Street City State Zip Mailing address (#dijj’erent): Street City State Zip Phone: 408-299-7758 Fax: 408-938-1 106 Email: kelley.kulick@pdo.sccgov.org Judicial Council of California, www.couns.ca.gov Revised September 1. 2020, Optional Form Cal. Rules of Court. rule 0‘051 Misdemeanor Appeal Request for Court-Appointed Lawyer in. j CR-1 33, Page 1 of2 .9 f. Trial Court Case Number: C2100379 Trial Court Case Name: People V. Cisneros Information About Your Case ® Were you/was your client represented by the public defender or another court-appointed lawyer in the trial Court proceedings in this case? (Check a 0r b.) a. Yes b. D No (Complete and attach Defendant‘s Financial Statement on Eligibility for Appointment of Counsel and Reimbursement and Record on Appeal at Public Expense (form MC-2I 0) showing that you/your client cannot aflord t0 hire a lawyer. You can getform MC-21 0 at any courthouse 0r county law library 0r online at www.couns.ca.gov/fonns.) ® If you have been convicted, describe the punishment the trial court gave you/your client in this case (check all that apply andfill in any required information): a. D Jail time b. D A fine (including penalty and other assessments) (fill in the amount 0fthefine): $ c. D Restitution O‘ill in the amount 0fthe restitution): $ d. D Probation dill in the amount 0ftime 0n probation): e. D Other punishment (describe any other punishment that the trial court gave you/your client in this case): f. D Describe any other negative consequences that you are/your client is likely t0 sufler because 0fthz's conviction: Ifyou have not been convicted, describe the order being challenged on appeal: Court granted defense motion to suppress under Penal Code section 1538.5. Office of the District Attorney appealed. Notice to Defendant: If you were represented by appointed counsel in the trial court and the trial court finds that you are able to pay all or part of the cost of that counsel, at the conclusion of the proceedings, the court may also determine after a hearing whether you are able to pay all or a portion of the cost of any attorney appointed to represent you in this appeal. If the court determines that you are at that time able to pay, the court will order you to pay all or part of such cost. Such orders will have the same force and effect as a judgment in a civil action and will be subject to enforcement. Date: 1 1/2/2021 Kelley Paul Kulick > Kwflm/KW Type or print name ’ Siéfmture ofdefendam 0r attorney Rev‘sedsep‘embe'1'2°2° Request for Court-Appointed Lawyer in CR4”: P3982 °f2 Misdemeanor Appeal