Form B 24 - Certification To Court Of Appeals By All Parties Page 2

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B 24 (Official Form 24) (12/07) - Cont.
Page 2
[The parties may include or attach the information specified in Rule 8001(f)(3)(C).]
Signed: [If there are more than two signatories, all must sign and provide the information
requested below. Attach additional signed sheets if needed.]
__________________________
___________________________
Attorney for Appellant (or Appellant,
Attorney for Appellee (or Appellee
if not represented by an attorney)
if not represented by an attorney)
__________________________
___________________________
Printed Name of Signer
Printed Name of Signer
__________________________
____________________________
__________________________
____________________________
Address
Address
__________________________
____________________________
Telephone No.
Telephone No.
__________________________
____________________________
Date
Date
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