Acceptance By Mediator
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Acceptance By Mediator Form. This is a New Jersey form and can be use in Bankruptcy Court Federal.
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Tags: Acceptance By Mediator, New Jersey Federal, Bankruptcy Court
UNITED STATES BANKRUPTCY COURT
DISTRICT OF NEW JERSEY
In re:
Case No.
Chapter
Debtor.
Use adversary caption if applicable.
Plaintiff,
v.
Adversary No.
Defendant.
ACCEPTANCE BY MEDIATOR
I hereby agree to act as mediator in this matter under the terms and guidelines set forth in
the consent order for referral to mediation. To my knowledge, I do not have a conflict or
adverse interest to the estate or to any party to the bankruptcy case. I am a disinterested person
within the meaning of 11 U.S.C. ยง 101(14).
_________________________________
Mediator
Date:_____________________
Feb.1998
Acceptance of Mediator
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