ARBITRATOR (Name, Address, Telephone No.) FOR COURT USE ONLY SUPERIOR COURT OF CALIFORNIA, COUNTY OF ORANGE CENTRAL JUSTICE CENTER 700 Civic Center Dr. West Santa Ana, CA 92701-4045 PLAINTIFF: DEFENDANT: ARBITRATOR'S NOTICE OF ASSIGNMENT OF ARBITRATION HEARING DATE CASE NUMBER: TO ALL PARTIES AND THEIR ATTORNEYS OF RECORD: You are notified that the above matter has been set for arbitration on: Date: Time: Arbitration Hearing Room: If a case is settled, the parties shall notify the arbitrator and the court at least two court days before the arbitration hearing date or the parties shall equally compensate the arbitrator in the total sum of $150.00. Rule 3.829, California Rules of Court. PROOF OF SERVICE BY MAIL I deposited a copy of this Arbitrator's Notice of Assignment of Arbitration Hearing Date in the United States mail, in a sealed envelope with postage fully prepaid. The envelope was addressed as follows (name and address of parties) : Date of mailing: Place of mailing (city and state): I am a resident of or employed in the county where this notice was mailed. My residence or business address is: Street Address: City: State: I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Date: (TYPE OR PRINT NAME) (SIGNATURE OF PARTY MAILING NOTICE) ARBIRATOR'S NOTICE OF ASSIGNMENT OF ARBITRATION HEARING DATE Approved for Optional Use L93 (Rev. January 1, 2007) NT265 American LegalNet, Inc. www.FormsWorkflow.com