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Mediators Certificate Of Completion Of Mediation Conference 32 - Pennsylvania
| Mediators Certificate Of Completion Of Mediation Conference Form. This is a Pennsylvania form and can be used in USBC Western Federal . |
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WPAB FORM 32 (03/12) IN THE UNITED STATES BANKRUPTCY COURT FOR THE WESTERN DISTRICT OF PENNSYLVANIA ) Bankruptcy No. _________________________ ) ) ) ) Motion No. _____________________________ ______________________________________, ) Plaintiff/Movant ) Adversary No. ___________________________ ) ) vs. ) _______________________________________ ) Defendant/Respondent ) _______________________________________ ) In re: ______________________________________, Debtor _______________________________________ MEDIATOR'S CERTIFICATE OF COMPLETION OF MEDIATION CONFERENCE 1. I hereby certify that pursuant to an order of assignment of this Court to the Bankruptcy Mediation Program dated _________________________, a Mediation Program Conference was held on ________________________________________________________________________/was not held. (list all date(s) on which conference was held) 2. A settlement/resolution of this matter was _____/was not____ reached. Dated: ___________________________ Mediator:________________________________________ Signature Type or print: Name:_____________________________________ Address:___________________________________ __________________________________________ Telephone:_________________________________ American LegalNet, Inc. www.FormsWorkFlow.com
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