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 Space to insert date of mediation , the Space to insert day day of Space to insert month Space to insert year, and that the results of the mediation are as follows:

Dated at Space to insert city , this Space to insert day day of Space to insert month Space to insert year .

Space to insert name of bankrupt
Bankrupt

Space to insert name of bankrupt's legal counsel (if applicable)
Bankrupt’s Legal Counsel
(if applicable)

Space to insert name of trustee
Trustee

Space to insert name of trustee's legal counsel (if applicable)
Trustee’s Legal Counsel
(if applicable)

Space to insert name of creditor (if applicable)
Creditor
(if applicable)

Space to insert name of creditor's legal counsel (if applicable)
Creditor’s Legal Counsel
(as applicable)

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