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Mediators Final Report Form. This is a New York form and can be use in Bankruptcy Court Federal.
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Tags: Mediators Final Report, New York Federal, Bankruptcy Court
UNITED STATES BANKRUPTCY COURT
Southern District of New York
MEDIATOR’S FINAL REPORT
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1.
Case name:
2.
a. Case #:
3.
Nature of dispute:
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4.
Date of mediator appointment:
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5.
a. Has case settled?:
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b. Adversary # (if applic.):
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[ ]Yes, before first meeting [ ]Yes, in mediation [ ]Yes, after mediation, if you know [ ]Case did not settle
b. If settled, how long from appointment to settlement of case?:
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c. What were the principal terms of the settlement? (Annex a brief description if necessary):
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6.
a. What was total fee?:$
b. How was it paid?:
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7.
Please list persons in attendance (including party association, i.e., defendant, plaintiff):
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(Mediator)
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8.
Please provide the names, addresses, and telephone numbers of counsel:
Name:
Name:
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Address:
Address:
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Phone:
Phone:
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Name:
Name:
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Address:
Address:
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Phone:
Signature of Mediator:
Phone:
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Date:
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Address:
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Phone:
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