NOTICE OF INTENT TO APPEAL

December 30, 2023

XXX DISTRICT COURT
EASTERN DISTRICT OF XXX
……………………………………………………………………..X
In re:
XXX,
Debtor.
……………………………………………………………………..X

Debtor, XXX, files this Notice of Intent to Appeal the ruling and
orders issued by Judge Jill Mazer-Marino on August XXX (hereinafter “order”), pursuant to
XXX(a)(1). The order granted the Trustee XXX wrongful proposed
settlement of Debtor’s personal injury lawsuit and granting the Trustee’s opposition to Debtor’s
motion to withdraw from the Chapter 7 proceedings in this Court.

Date: _________________

XXX
XXX

XXX
Pro Se Debtor

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