Federal Rules of Appellate Procedure 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 District of _____________________________________ In re ____________________________, Debtor _____________________________, Plaintiff v. _____________________________, Defendant File No. Notice of Appeal to the United States Court of Appeals for the Circuit. , the plaintiff (or defendant) or other party) appeals to the United States Court of appeals for the Circuit from the final judgment [or order or decree] of the district court for the District of (or bankruptcy appellate panel of the Circuit), entered in this case on the day of , 20 (here describe the judgment, order, or decree) . The parties to the judgment (or order or decree) appealed from and the names and addresses of their respective attorneys are as follows: Dated: Signed: (Attorney for Appellant) Address: [Note to inmate filers: If you are an inmate confined in an institution and you seek the timing benefit of Fed. R. App. P. 4(c)(1), complete Form 7 (Declaration of Inmate Filing) and file that declaration along with this Notice of Appeal.] American LegalNet, Inc. www.FormsWorkFlow.com