NAME, ADDRESS, AND TELEPHONE NUMBER OF ATTORNEY OR PARTY WITHOUT ATTORNEY: STATE BAR NUMBER Reserved for Clerk’s File Stamp ATTORNEY FOR (Name): SUPERIOR COURT OF CALIFORNIA, COUNTY OF LOS ANGELES COURTHOUSE ADDRESS: PLAINTIFF: DEFENDANT: CASE NUMBER: STIPULATION RE SETTLEMENT IT IS HEREBY STIPULATED, BY AND BETWEEN THE PARTIES, THAT this matter is deemed settled pursuant to the following terms and conditions: 1. LAADR 038 (Rev. 05/09) LASC Approved 11-03 STIPULATION RE SETTLEMENT Page 1 of 2 American LegalNet, Inc. www.FormsWorkFlow.com Case Number Short Title 2. The ____________ agrees to accept said sum as payment in full of all (his/her/their) claims, known or unknown, arising from the events described in the complaint with the knowledge that (he/she/they) will be barred from proceeding against __________ in the future regardless of what might happen. 3. Each party will bear its own court costs and attorney fees. 4. Parties shall execute mutual releases of all claims. 5. The parties agree that they have reached a full and final settlement of all claims arising from the events described in the complaint. This agreement is binding and it contains the material terms of the agreement between the parties. Pursuant to Evidence Code section 1123, the parties acknowledge that this agreement is exempt from the confidentiality provisions of Evidence Code section 1152 et seq., and is admissible in evidence to enforce the settlement. 6. The parties agree the Court may dismiss the case without prejudice. The Court is requested to retain jurisdiction and this settlement may be enforced pursuant to California Code of Civil Procedure section 664.6. Additional pages attached (number) _____. Dated: ................................................ (TYPE OR PRINT NAME) (SIGNATURE OF PLAINTIFF) ................................................ (TYPE OR PRINT NAME) (SIGNATURE OF ATTORNEY FOR PLAINTIFF) ................................................ (TYPE OR PRINT NAME) ................................................ (TYPE OR PRINT NAME) _________________________________________________ _________________________________________________ _________________________________________________ (SIGNATURE OF DEFENDANT) _________________________________________________ (SIGNATURE OF ATTORNEY FOR DEFENDANT) ................................................ (TYPE OR PRINT NAME) _________________________________________________ ................................................ (TYPE OR PRINT NAME) _________________________________________________ ................................................ (TYPE OR PRINT NAME) _________________________________________________ ................................................ (TYPE OR PRINT NAME) _________________________________________________ LAADR 038 (Rev. 05/09) LASC Approved 11-03 (SIGNATURE OF ) (SIGNATURE OF ATTORNEY FOR ) (SIGNATURE OF (SIGNATURE OF ATTORNEY FOR STIPULATION RE SETTLEMENT ) ) Page 2 of 2 American LegalNet, Inc. www.FormsWorkFlow.com