Form F 701 - Request For Assignment To Mediation Program

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Attorney or Party Name, Address, Telephone & FAX Nos., State Bar No. &
FOR COURT USE ONLY
Email Address
Attorney for
UNITED STATES BANKRUPTCY COURT
CENTRAL DISTRICT OF CALIFORNIA -
**SELECT DIVISION**
DIVISION
In re:
CASE NO.:
**Select Chapter**
CHAPTER
ADVERSARY NO.:
Debtor(s).
REQUEST FOR ASSIGNMENT TO MEDIATION
PROGRAM
[NOTE: A COMPLETED ORDER ASSIGNING MATTER
TO MEDIATION AND APPOINTING MEDIATOR AND
ALTERNATE MEDIATOR MUST BE CONCURRENTLY
Plaintiff(s),
UPLOADED THROUGH LODGED ORDER UPLOAD
vs.
(LOU) WITH THIS REQUEST]
[NO HEARING REQUIRED]
Defendant.
I hereby request that the following matter be assigned to the Bankruptcy Mediation Program of this district:
Description of the Matter:
1.
Objection to claim/claim resolution
2.
Plan
Objection to plan confirmation
Plan formulation/negotiation
3.
Valuation
4.
Preference
This form is optional. It has been approved for use by the United States Bankruptcy Court for the Central District of California.
F 701
Page 1
May 2011

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