Apf4p1.eps Apf4p2.eps Apf4p3.eps Apf4p4.eps (As amended Apr. 24, 1998, eff. Dec. 1, 1998.) 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 DistrictofXXXXXX 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