B 417A Notice Of Appeal And Statement Of Election
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Official Form 417A (12/15)
Official Form 417A Notice of Appeal and Statement of Election page 1
[Caption as in Form 416A, 416B, or 416D, as appropriate]
NOTICE OF APPEAL AND STATEMENT OF ELECTION
Part 1: Identify the appellant(s)
1. Name(s) of appellant(s):
_________________________________________________________________________
2. Position of appellant(s) in the adversary proceeding or bankruptcy case that is the subject of this
appeal:
For appeals in an adversary proceeding.
Plaintiff
Defendant
Other (describe) ________________________
For appeals in a bankruptcy case and not in an
adversary proceeding.
Debtor
Creditor
Trustee
Other (describe) ________________________
Part 2: Identify the subject of this appeal
1. Describe the judgment, order, or decree appealed from: ____________________________
2. State the date on which the judgment, order, or decree was entered: ___________________
Part 3: Identify the other parties to the appeal
List the names of all parties to the judgment, order, or decree appealed from and the names, addresses,
and telephone numbers of their attorneys (attach additional pages if necessary):
1. Party: _________________ Attorney: ______________________________
______________________________
______________________________
______________________________
2. Party: _________________ Attorney: ______________________________
______________________________
______________________________
______________________________
Official Form 417A Notice of Appeal and Statement of Election page 2
Part 4: Optional election to have appeal heard by District Court (applicable only in
certain districts)
If a Bankruptcy Appellate Panel is available in this judicial district, the Bankruptcy Appellate Panel will
hear this appeal unless, pursuant to 28 U.S.C. § 158(c)(1), a party elects to have the appeal heard by the
United States District Court. If an appellant filing this notice wishes to have the appeal heard by the
United States District Court, check below. Do not check the box if the appellant wishes the Bankruptcy
Appellate Panel to hear the appeal.
Appellant(s) elect to have the appeal heard by the United States District Court rather than by
the Bankruptcy Appellate Panel.
Part 5: Sign below
_____________________________________________________ Date: ____________________________
Signature of attorney for appellant(s) (or appellant(s)
if not represented by an attorney)
Name, address, and telephone number of attorney
(or appellant(s) if not represented by an attorney):
_____________________________________________________
_____________________________________________________
_____________________________________________________
_____________________________________________________
Fee waiver notice: If appellant is a child support creditor or its representative and appellant has filed the
form specified in § 304(g) of the Bankruptcy Reform Act of 1994, no fee is required.Relevant article from our knowledge database An additional thing you ought to bear in mind is that this letter isn't a legal document however, you sometimes take the tenant to court anyway. In such conditions, you must compose a rejection letter immediately, so the company may continue with the recruitment approach. A business introduction letter needs to be accompanied by means of a company brochure.
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