Form 63 — Mediation Settlement Agreement

PDF version
(8 KB, 1 page)

PDF readers

(Rule 105(18))

This form may not be completed online. It is provided here for reference purposes only.

(Title Form 1)

The parties acknowledge that an agreement was reached in the mediation held on Form Field , the Form Field day of Form Field Form Field, and that the results of the mediation are as follows:

Dated at Form Field , this Form Field day of Form Field Form Field .

Form Field
Bankrupt

Form Field
Bankrupt’s Legal Counsel
(if applicable)

Form Field
Trustee

Form Field
Trustee’s Legal Counsel
(if applicable)

Form Field
Creditor
(if applicable)

Form Field
Creditor’s Legal Counsel
(as applicable)

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