Official Form 17A (12/14) Caption as in Form 16A, 16B, or 16D, as ... 2025

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The document is Official Form 17A, which serves as a Notice of Appeal and Statement of Election in bankruptcy cases. It includes sections for identifying the appellant(s), the subject of the appeal, other parties involved, an optional election to have the appeal heard by a District Court instead of a Bankruptcy Appellate Panel, and a signature section for the attorney or appellant. The form is designed to facilitate the process of appealing judgments or orders in bankruptcy proceedings.

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Click ‘Get Form’ to open it in the editor.
In Part 1, enter the name(s) of the appellant(s) and select their position in the adversary proceeding or bankruptcy case. Choose from options like Plaintiff, Defendant, Debtor, or Creditor.
For Part 2, describe the judgment, order, or decree being appealed and state the date it was entered.
In Part 3, list all parties involved in the appeal along with their attorneys' names and contact information. Use additional pages if necessary.
If applicable, check the box in Part 4 to elect for your appeal to be heard by the United States District Court instead of the Bankruptcy Appellate Panel.
Finally, sign and date at Part 5. Include your name and contact details if you are not represented by an attorney.

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