Free Form 5.  Notice of Appeal from District Court or Bankruptcy Appellate Panel - Federal

Federal Rules of Appellate Procedure Form 5. Notice of Appeal to a Court of Appeals from a Judgment or Order of a District Court or a Bankruptcy Appellate Panel United States District Court for the _________________________________ District of ____________________ In re ________________________, Debtor ________________________, Plaintiff v. ________________________. Defendant File No. ____________________

Notice of Appeal to the United States Court of Appeals for the ________ Circuit. ________________________________________, the plaintiff (or defendant) or other party) appeals to the United States Court of appeals for the _____________ Circuit from the final judgment [ or order or decree] of the district court for the District of ____________ (or bankruptcy appellate panel of the ________________ Circuit), entered in this case on the _____ day of ______________, 19___ (here describe the judgment, order, or decree) ______________________________________________. The parties to the judgment (or order or decree) appealed from and the names and addresses of their respective attorneys are as follows:

Dated:

Signed: (Attorney for Appellant) Address: