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Form 4. Affidavit Accompanying Motion for Permission to Appeal In Forma Pauperis
28AApf4p1.eps
28AApf4p2.eps
28AApf4p3.eps
28AApf4p4.eps
(As amended Apr. 24, 1998, eff. Dec. 1, 1998; Apr. 28, 2010, eff. Dec. 1, 2010.)
Committee Notes on Rules—2010 Amendment
Changes Made After Publication and Comment. No changes were made after publication and comment.
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 XXXX
District of XXXXXX
28AApF5.eps
Notice of Appeal to United States Court of Appeals for the XXXXXX Circuit
XXXXXXXX, the plaintiff [or defendant or other party] appeals to the United States Court of Appeals for the XXXXXX Circuit from the final judgment [or order or decree] of the district court for the district of XXXXXX [or bankruptcy appellate panel of the XXXXXX circuit], entered in this case on XXXXXX, 20XX [here describe the judgment, order, or decree] XXXXXXXXXX
The parties to the judgment [or order or decree] appealed from and the names and addresses of their respective attorneys are as follows:
Dated XXXXXXXXXXXX
Signed XXXXXXXXXXXX
Attorney for Appellant
Address: XXXXXXXXXXX
XXXXXXXXXXXXXX
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