### FOURTEENTH COURT OF APPEALS CIVIL APPEAL MEDIATI ON DOCKETING STATEME NT

RETURN WITHIN 15 DAY S TO: CLERK, FOURTEENTH CO URT OF APPEALS; 301 FANNIN, ROOM 245 ; HOUSTON, TEXAS 770 02 ***For Civil Appeals, see Section V for informati on about the Pro Bono Program sponsored and administered by the Pro Bono Committees of the Appellate Practice Sections of the State Bar of Texas and the Houston Bar Association.

I. General Information: Appellant(s):

Appellee(s):

Other: Appellate Ca use No.:

Trial Ct. Cause No.:

County:

Trial Court:

II. Timetable: Appeal stayed by bankruptcy. Date bankruptcy filed:
List: name of bankruptcy court: bankruptcy case number: style of bankruptcy filing:

III. Jurisdiction: Will you challenge this court’s jurisdiction? No  Yes  

## Metropolitan Life Insurance Company and Metropolitan Tower Life Insurance Company Structured Asset Funding, LLC d/b/a 123 LumpSum; and Bradley Turpin (pro se) 14-15-00584-CV

CV-0073918
Galveston County
County Court at Law No. 2

x ACCEPTED 14-15-00584-CV FOURTEENTH COURT OF APPEALS

HOUSTON, TEXAS 7/23/2015 3:45:44 PM CHRISTOPHER PRINE

CLERKIV. Indigency Of Party (TRAP 32.1(k)): (Attach file
- stamped copy of affidavit)

Event Filed Check as appropriate Date N/A

Affidavit filed No  Yes 

Contest filed No  Yes 

Date ruling on contest due:

Ruling on contest: Sustained  Overruled 

V. Pro Bono Pilot Program: The Pro Bono Committees of the Appellate Practice Sections of the State Bar of Texas and the Houston Bar Association are participating in a Pro Bono Program to place a limited number of civil appeals with appellate counsel who will represent the appellant/ appell ee in the appeal before th e Fourteenth C ourt of Appeals

. The Pro Bono Committee is solely responsible for screening and selecting the civil cases for inclusion in the Pilot Program based upon a number of discretionary criteria, including the financial means of the appellee . If a case is selected by the Committee , and can be matched with appellate counsel, that counsel will take over representation of the appellee without charging legal fees. More information regarding this program can be found in the Pro Bono Pilot Program Pamphlet available in paper form at the Clerk’s Office or on the Internet at http://www.tex

ap p.org and http://www.hba.org/folder

- sections/sec

- appellate.htm . If your case is selected and matched with a volunteer lawyer, you will receive a letter from the Pro Bono Pilot Committee w ithin thirty (30) to forty

- five (45) days after submitting this Docketing Statement. NOTE: There is no guarantee that, if you submit your case for possible inclusion in the Pro Bono Program, the Pro Bono Committee will select your case and that pro bono counsel can be found to represent you. Accordingly, you should not forego seeking other counsel to represent you in this proceeding. By signing your name below, you are authorizing the Pro Bono Committee to transmit publicly available facts and informat ion about your case, including parties and background, through selected Internet sites and a Listserv to its pool of volunteer appellate attorneys . 1. Do you want this case to be considered for inclusion in the Pro Bono Pilot Program?

Yes  No  If you answered “Yes” to Question V .1, then please answer the following questions.
2. Do you authorize the Pro Bono Committee to contact your trial counsel of record in this matter to answer questions the c ommittee may have regarding the appeal? Please note that any such conversations would be maintained as confidential by the Pro Bono Committee and the information used solely for the purposes of considering the case for inclusion in the Pro Bono Program.

Yes  No 



### x3

. If you have not previously filed an affidavit of indigency and attached a file

- stamped copy of that

affidavit, does your income exceed 200 % of the U.S. Department of Health and Human Services Federal Poverty Guidelines? These guidelines can be found in the Pro Bono Program Pamphlet as well as on the Internet at http://aspe.hhs.gov/poverty/06poverty.shtml

.

Yes  No 
4. Are you willing to disclose your financial circumstances to the Pro Bono Committee? If so, please attach an Affidavit of Indigency completed and executed by the appellee . Forms may be found in the Clerk ’s Office or on the Internet at http://www.tex

- app.org and http://www.hba.org/folder

- sections/sec

- appellate.htm . Your participation in the Pro Bono Pilo t Program may be conditioned upon your execution of an affidavit under oath as to your financial circumstances.

Yes  No 
5. Give a brief description of the issues to be raised on appeal, the reli ef sought, and the applicable standard of review, if known (without prejudice to the right to raise additional issues or request additional relief; use a separate attachment, if necessary).

VI. Alternative Dispute Resolution/Mediation (if applicable) Instructions: This information will be used in conjunction with the Rule 32.1 docketing statement to evaluate your case for possible referral to an alternative dispute resolution procedure. See T EX

. R. A PP

. P. 32.1. The court will not consider your ans wers if the case is submitted on the merits. Each party (except where noted) must complete and file a completed docketing form in the Court of Appeals after the appeal is perfected.
Check Y for yes or N for n o. Fill in all blanks or check appropriate boxe s.
1. Should this case be referred to mediation? Yes  No  (use additional sheets if necessary) If no, why?

(The court makes the final decision regarding referral of a case to mediation)
2. Has this case been through an ADR procedure in the tria l court? Yes  No  If you answered yes:

a. Who was the mediator?
b. What type of ADR procedure?

c. At what stage did the case go through ADR?

pre
- trial trial post

- trial other ______________________________ 

### x

x3. Rate the case for complexity. Use 1 for the least complex and 5 for the most complex. Check one:
1  2  3  4  5 

VII. Signature:

__________________________________________________ Date: _________________________ Signature of counsel (or pro s e party) State Bar No.:___________________

Printed Name: _____________________________________
Address:
Email Address: Telephone Number:
Facsimile Number: Representing: (Appellant/Appellee) 

### x



## /s/ Patrick P. Sicotte July 23, 2015 24079330
Earl S. Nesbitt, J. Brian Dear, Patrick P. Sicotte 15851 Dallas Parkway, Suite 800, Addison, Texas 7500 1 

## enesbitt@nvmlaw.com; jbdear@nvmlaw.com; psicotte@nvmlaw.com (972) 371-2411 (972) 371-2410

Appellee Structured Asset Funding, LLC d/b/a 123 LumpSum