United States District Court for the ________________________ District of ___________________
In re _________________________, Debtor
v.
) ) ) )
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 ____________________________________, entered in this case on _____________, ___ [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: ________________________ Attorney for Appellant Address:
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