CACB — Certificate Regarding Conclusion

Source: https://www.cacb.uscourts.gov/sites/cacb/files/documents/forms/Certificate%20Regarding%20Conclusion.pdf

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3 UNITED STATES BANKRUPTCY COURT

4 FOR THE CENTRAL DISTRICT OF CALIFORNIA

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7 In re ) Case No. ) 8 ) ) [Chapter ] 9 ) ) 10 Debtor(s). ) ) 11 ) ) 12 ) Adv. No. ) 13 ) MEDIATOR'S CERTIFICATE Plaintiff(s)/ Movant(s), ) REGARDING COMPLETION OF 14 ) MEDIATION CONFERENCE v. ) 15 ) ) 16 ) ) 17 Defendant(s)/Respondent(s). ) ) 18

19 1. I was assigned to mediate this matter by order of this Court dated

20 as the:

21 (a) Mediator ;

22 (b) Alternate Mediator ;

23 (c) Successor Mediator ;

24 (d) Successor Alternate Mediator .

25 2. I hereby certify that, to the best of my information and belief, the

26 mediation assignment:

Form 706 Revised 03/22

1 (a) Settled ;

2 (b) Did NOT settle .

3 3. If the matter SETTLED:

4 (a) Did the matter settle prior to the mediation conference without a

5 mediation conference being held?

6 (b) If you conducted a mediation conference that settled, on what

7 date(s) did the conference occur?

8 (c) If you conducted a mediation conference that settled, who did you

9 designate to prepare the settlement documentation?

10 4. If the matter DID NOT settle:

11 (a) Was the matter dismissed by the Court prior to the mediation

12 conference?

13 (b) Did you conduct a mediation conference?

14 (c) If you conducted a mediation conference, on what date(s) did the

15 conference occur?

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17 DATED: (Name of Mediator) 18 SIGN _ 19 (Signature of Mediator)

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21 cc: Hon. Barry Russell Mediation Program Administrator 22 United States Bankruptcy Court 255 East Temple Street, Suite 1660 23 Los Angeles, California 90012 Mediation_Program@cacb.uscourts.gov 24

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Form 706 Revised 03/22