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Order Assigning Matter To Mediation Program And Appointing Mediator And Alternate Mediator Form. This is a California form and can be use in USBC Central Federal.
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Tags: Order Assigning Matter To Mediation Program And Appointing Mediator And Alternate Mediator, 702, California Federal, USBC Central
Attorney or Party Name, Address, Telephone & FAX Nos., State Bar No. &
Email Address
FOR COURT USE ONLY
Attorney for
UNITED STATES BANKRUPTCY COURT
CENTRAL DISTRICT OF CALIFORNIA - **SELECT DIVISION**
In re:
DIVISION
CASE NO.:
CHAPTER **Select Chapter**
Debtor(s).
ADVERSARY NO.:
ORDER ASSIGNING MATTER TO MEDIATION
PROGRAM AND APPOINTING MEDIATOR
AND ALTERNATE MEDIATOR
EXHIBIT ATTACHED
Plaintiff(s),
vs.
(PARTIES’ SIGNATURE PAGE)
[NO HEARING REQUIRED]
Defendant.
This
(Adversary Proceeding/Name of Dispute in Main Case)
is hereby assigned to the Bankruptcy Mediation Program of this district, and the following are appointed as Mediator and
Alternate Mediator:
Mediator:
Alternate mediator:
Name
Name
This form is optional. It has been approved for use by the United States Bankruptcy Court for the Central District of California.
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F 702
Firm name
Firm name
Address
Address
City, state, zip code
City, state, zip code
Telephone
Telephone
Facsimile
Facsimile
Email address
Email address
The attorneys for the parties are:
Attorney for
:
Attorney for
Name
Name
Firm name
Firm name
Address
Address
City, state, zip code
City, state, zip code
Telephone
Telephone
Facsimile
Facsimile
Email address
:
Email address
[Attach additional page(s) if necessary.]
This form is optional. It has been approved for use by the United States Bankruptcy Court for the Central District of California.
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Description of the Matter:
1.
Objection to claim/claim resolution
2.
Plan
Objection to plan confirmation
Plan formulation/negotiation
3.
Valuation
4.
Preference
5.
Fraudulent transfer
6.
Lien avoidance
7.
Dischargeability
Specify grounds:
8.
Other. Please specify:
Amount of money at issue in Matter:
1.
$0 to $1,000
2.
$1,001 to $10,000
3.
$10,001 to $50,000
4.
$50,001 to $100,000
5.
$100,001 to $500,000
6.
$500,001 to $1,000,000
7.
$1,000,001 to $5,000,000
8.
$5,000,001 to $10,000,000
9.
If more than $10,000,000,
state amount: $
10.
Money not at issue.
Instructions from the Court:
1.
Re: filing and service of this Order:
a. If Order is submitted to court by party(ies)
(1) For electronic submission of orders, refer to Section 4 of the Court Manual.
(2) The party(ies) submitting this Order must file the following with the court: (a) the original and one (1) copy
of this Order, (b) the original and (1) copy of a Notice of Entered Order and Service List, and (c) a Proof of Service of
Document which reflects service of this Order on the mediator, the alternate mediator, the mediation program
This form is optional. It has been approved for use by the United States Bankruptcy Court for the Central District of California.
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administrator (Hon. Barry Russell) and any individual(s) and/or entity(ies) and/or other interested party(ies) as may be
designated by the judge.
b. If Order is prepared by the judge:
(1) The following individual must serve a copy of this Order on the mediator, the alternate mediator, and the
mediation program administrator (Hon. Barry Russell):
(2) The following additional individual(s) and/or entity(ies) and/or other interested party(ies) must be served
by the individual designated in note (b)(1) above with a copy of this Order: [Attach additional page(s) if necessary.]
(3) The individual designated in note (b)(1) above must file an original Proof of Service which reflects service
of this Order on the mediator, the alternate mediator, the mediation program administrator, and the individual(s) and/or
entity(ies) and/or interested party(ies) listed in note 1(b) above.
2.
Other: [Attach additional page(s) if necessary.]
The parties are to comply with the provisions of Third Amended General Order No. 95-01.
IT IS SO ORDERED:
Date:
United States Bankruptcy Judge
This form is optional. It has been approved for use by the United States Bankruptcy Court for the Central District of California.
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[EXHIBIT – PARTIES' SIGNATURE PAGE]
SUBMITTED JOINTLY BY:
Date:
Printed name of party
Signature of party
Date:
Printed name of party's attorney
(Signature of party's counsel)
Date:
(Name of party)
(Signature of party)
Date:
(Name of party's counsel)
(Signature of party's counsel)
This form is optional. It has been approved for use by the United States Bankruptcy Court for the Central District of California.
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PROOF OF SERVICE OF DOCUMENT
I am over the age of 18 and not a party to this bankruptcy case or adversary proceeding. My business address is:
A true and correct copy of the foregoing document described as ORDER ASSIGNING MATTER TO MEDIATION
PROGRAM AND APPOINTING MEDIATOR AND ALTERNATE MEDIATOR will be served or was served (a) on the
judge in chambers in the form and manner required by LBR 5005-2(d); and (b) in the manner stated below:
1. TO BE SERVED BY THE COURT VIA NOTICE OF ELECTRONIC FILING (NEF): Pursuant to controlling General
Order(s) and LBR, the foregoing document will be served by the court via NEF and hyperlink to the document. On
, I checked the CM/ECF docket for this bankruptcy case or adversary proceeding and determined
that the following person(s) are on the Electronic Mail Notice List to receive NEF transmission at the email address(es)
stated below:
Service information continued on attached page
2. SERVED BY UNITED STATES MAIL OR OVERNIGHT MAIL (indicate method for each person or entity served):
, I served the following person(s) and/or entity(ies) at the last known address(es) in this
On
bankruptcy case or adversary proceeding by placing a true and correct copy thereof in a sealed envelope in the United
States mail, first class, postage prepaid, and/or with an overnight mail service addressed as follows. Listing the judge here
constitutes a declaration that mailing to the judge will be completed no later than 24 hours after the document is filed.
Mediator:
Alternate Mediator:
Service information continued on attached page
3. SERVED BY PERSONAL DELIVERY, FACSIMILE TRANSMISSION OR EMAIL (indicate method for each person or
entity served): Pursuant to F.R.Civ.P. 5 and/or controlling LBR, on
, I served the following
person(s) and/or entity(ies) by personal delivery, or (for those who consented in writing to such service method), by
facsimile transmission and/or email as follows. Listing the judge here constitutes a declaration that personal delivery on
the judge will be completed no later than 24 hours after the document is filed.
Service information continued on attached page
I declare under penalty of perjury under the laws of the United States that the foregoing is true and correct.
Date:___________________________
Signature:_______________________________________
Printed Name:____________________________________
This form is optional. It has been approved for use by the United States Bankruptcy Court for the Central District of California.
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NOTICE OF ENTERED ORDER AND SERVICE LIST
Notice is given by the court that a judgment or order entitled (specify) ORDER ASSIGNING MATTER TO MEDIATION
PROGRAM AND APPOINTING MEDIATOR AND ALTERNATE MEDIATOR was entered on the date stated as
“Entered” on the first page of this judgment or order and will be served in the manner stated below:
1. SERVED BY THE COURT VIA NOTICE OF ELECTRONIC FILING (NEF): Pursuant to controlling General Order(s)
and LBR, the foregoing document was served on the following person(s) by the court via NEF and hyperlink to the
, the following person(s) are currently on the Electronic Mail Notice List for
judgment or order. As of
this bankruptcy case or adversary proceeding to receive NEF transmission at the email address(es) stated below.
Service information continued on attached page
2. SERVED BY THE COURT VIA UNITED STATES MAIL: A copy of this notice and a true copy of this judgment or order
was sent by United States mail, first class, postage prepaid, to the following person(s) and/or entity(ies) at the address(es)
stated below:
Mediator:
Alternate Mediator:
Service information continued on attached page
3. TO BE SERVED BY THE LODGING PARTY: Within 72 hours after receipt of a copy of this judgment or order which
bears an AEntered@ stamp, the party lodging the judgment or order will serve a complete copy bearing an AEntered@ stamp
by United States mail, overnight mail, facsimile transmission or email and file a proof of service of the entered order on the
following person(s) and/or entity(ies) at the address(es), facsimile transmission number(s), and/or email address(es)
stated below:
Service information continued on attached page
This form is optional. It has been approved for use by the United States Bankruptcy Court for the Central District of California.
May 2011
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