ATTORNEY OR PARTY WITHOUT ATTORNEY (Name & Address): FOR COURT USE ONLY Telephone No.: E-Mail Address (Optional): ATTORNEY FOR (Name): JUSTICE CENTER: Fax No. (Optional): Bar No: SUPERIOR COURT OF CALIFORNIA, COUNTY OF ORANGE Central - 700 Civic Center Dr. West, Santa Ana, CA 92701-4045 Civil Complex Center - 751 W. Santa Ana Blvd., Santa Ana, CA 92701-4512 Harbor-Newport Beach Facility - 4601 Jamboree Rd.,Newport Beach, CA 92660-2595 North - 1275 N. Berkeley Ave., P. O. Box 5000, Fullerton, CA 92838-0500 West - 8141 13th Street, Westminster, CA 92683-4593 PLAINTIFF / PETITIONER: DEFENDANT / RESPONDENT: CASE NUMBER: STIPULATION FOR LITIGANT PAID FEES FOR MANDATORY ARBITRATION PROGRAM Limited Civil Unlimited Civil This case is governed by this stipulation: 1. Stipulation to deposit $150.00 arbitrator fees (check one box): to be divided equally among parties. to be paid by Case assigned to: Judge: Department: Date complaint filed: Hearing/trial date: . Fees must be submitted to Arbitration Administration, with this executed stipulation attached, on or before , 20 . Should Arbitrator fees exceed $150.00; parti and counsel agree to pay addition fees. es al Fees to be considered an item of costs. An Arbitrator will be appointed only after payment of fees in full. The Post Arbitration Review/Order to Show Cause/Trial Setting Conference date will remain and the issue of sanctions, if any, will be heard at that hearing. 2. Plaintiff Defendant to serve a conformed copy of this stipulation on all parties. Note: This stipulation shall be executed and filed directly withArbitration Administration, 700 Civic Center Drive West, Santa Ana, CA 92701, with the required fees. Checks to be made pay able to "Clerk of the Court." This stipulation will only be accepted with $150.00 attached. Failure to file bythe above date will cause the arbitration order to be automatically vacated and may result in sanctions. Date: _________________________ SIGNATURE OF ATTORNEY PARTY WITHOUT ATTORNEY _________________________ SIGNATURE OF ATTORNEY PARTY WITHOUT ATTORNEY _________________________ SIGNATURE OF ATTORNEY PARTY WITHOUT ATTORNEY TYPE OR PRINT NAME OF ATTORNEY PARTY WITHOUT ATTORNEY Date: TYPE OR PRINT NAME OF ATTORNEY PARTY WITHOUT ATTORNEY Date: TYPE OR PRINT NAME OF ATTORNEY PARTY WITHOUT ATTORNEY Approved for Mandatory Use L-0108 (Rev. July 2013) STIPULATION FOR LITIGANT PAID FEES FOR MANDATORY ARBITRATION PROGRAM American LegalNet, Inc. www.FormsWorkFlow.com