TO BE FILED IN THE COURT OF APPEAL 2DCA-16 Court of Appeal Case Number: COURT OF APPEAL, SECOND APPELLATE DISTRICT, DIVISION _________________ ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number and address): Superior Court Case Number: FOR COURT USE ONLY TELEPHONE NO.: E-MAIL ADDRESS: ATTORNEY FOR (Name): FAX NO. (Optional): APPELLANT: RESPONDENT: STIPULATED REQUEST FOR DISMISSAL OF APPEAL (CIVIL CASE) The undersigned hereby requests that the appeal filed on (date) _____________ in the above entitled action be dismissed. Parties agree to bear their own costs on appeal. Remittitur to issue forthwith. Date: ___________________________________________________ (TYPE OR PRINT NAME) _______________________________________________________ (SIGNATURE OF PARTY OR ATTORNEY) _____________________________________________________________________________ (PARTY REPRESENTED) Date: ________________________________________________________________________ (TYPE OR PRINT NAME) ______________________________________________________________________________ (SIGNATURE OF PARTY OR ATTORNEY) _____________________________________________________________________________ (PARTY REPRESENTED) Date: ___________________________________________________ (TYPE OR PRINT NAME) _______________________________________________________ (SIGNATURE OF PARTY OR ATTORNEY) _____________________________________________________________________________ (PARTY REPRESENTED) Date: ________________________________________________________________________ (TYPE OR PRINT NAME) ______________________________________________________________________________ (SIGNATURE OF PARTY OR ATTORNEY) _____________________________________________________________________________ (PARTY REPRESENTED) see additional page(s) NOTE: File this form in the Court of Appeal if the record on appeal has already been filed in the Court of Appeal. If the record has not yet been filed in the Court of Appeal, you cannot use this form; you must file an Abandonment of Appeal (Unlimited Civil Case) (form APP-005) in the superior court. IT IS SO ORDERED: Dated: ____________ _____________________________________ Presiding Justice STIPULATED REQUEST FOR DISMISSAL OF APPEAL (CIVIL CASE) American LegalNet, Inc. www.FormsWorkFlow.com