OTHER DOCUMENTS If you want to include other documents about why you object to the settlement, attach them to this form. REMEMBER! Only sign and return this form if you object to the settlement. – sign and return this form if you do NOT object to the settlement. DON’T [Write the DATE here]: ________________________ [Write your SIGNATURE here]: ____________________________ [Write your NAME here]: __________________________
OTHER DOCUMENTS If you want to include other documents about why you object to the settlement, attach them to this form. REMEMBER! – Only sign and return this form if you object to the settlement. DON’T sign and return this form if you do NOT object to the settlement. [Write the DATE here]: ________________________ [Write your SIGNATURE here]: ____________________________ [Write your NAME here]: __________________________
13139365_proposed_settlement_notice_final_31_may_16.docx