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FORM 4 —

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 ______


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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 of the ______ circuit], entered in this case on ______, 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: ___________

______________

(As added Apr. 25, 1989, eff. Dec. 1, 1989.)


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(As amended Apr. 24, 1998, eff. Dec. 1, 1998.)



























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