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 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 or the _____________ circuit], entered in this case on _____________, 20___ [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: _________________________________
(As added Apr. 25, 1989, eff. Dec. 1, 1989; Apr 1, 1993, eff. Dec. 1, 1993.)