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Notice of Appeal (United States)

This is a notice of appeal from a judgment, order, or decree and a supplemental form to a Bankruptcy form. The form provided here is simply a sample of what the actual Form B17 looks like.

Form B17 (Official Form 17)
(9/97)

FORM 17. NOTICE OF APPEAL UNDER 28 U.S.C. § 158(a) or (b)
FROM A JUDGMENT, ORDER, OR DECREE OF A BANKRUPTCY JUDGE

[Caption as in Form 16A, 16B, or 16D, as appropriate]


NOTICE OF APPEAL

_____________________________________, the plaintiff [or defendant or other party] appeals under 28 U.S.C. § 158(a) or (b) from the judgment, order, or decree of the bankruptcy judge (describe) entered in this adversary proceeding [or other proceeding, describe type]

on the ____________ day of ____________________, __________(year) .

The names of all parties to the judgment, order, or decree appealed from and the names, addresses, and telephone numbers of their respective attorneys are as follows:


Dated: ____________________________

Signed: _______________________________________________
Attorney for Appellant (or Appellant, if not represented by an Attorney)

Attorney Name: ________________________________________

Address: ______________________________________________

_______________________________________________

Telephone No: _______________________________________________

If a Bankruptcy Appellate Panel Service is authorized to hear this appeal, each party has a right to have the appeal heard by the district court. The appellant may exercise this right only by filing a separate statement of election at the time of the filing of this notice of appeal. Any other party may elect, within the time provided in 28 U.S.C. § 158(c), to have the appeal heard by the district court.

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