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Notice Of Appeal And Statement Of Election. Download Form (pdf, 42.The full special employment notice can be accessed here. Describe the judgment, order, or decree appealed from: We appeal docket numbers 447, 572, 591,. 744, 755, and 758 of Case No. Upon receiving an appellant's timely statement of election, the bankruptcy clerk must transmit to the district clerk all documents related to the appeal. Complete your protest and mail it to the IRS address on the letter that explains your appeal rights. Notices of appeal, jurisdictional statements, and briefs shall be filed electronically when counsel or the litigants have a PACFile account. NOTE: When using one of the PDF fillable forms listed below, you must "flatten" the PDF document after completing the form fields. For assistance, see the Fill-in Forms Instructions.