ATTORNEY OR PARTY WITHOUT ATTORNEY (NAME AND ADDRESS): TELEPHONE NO.: FOR COURT USE ONLY ATTORNEY FOR (NAME): SUPERIOR COURT OF CALIFORNIA, COUNTY OF STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: BRANCH NAME: PLAINTIFF(S)/PETITIONER(S): DEFENDANT(S)/RESPONDENT(S): AT ISSUE-MEMORANDUM CASE NUMBER: COUNTER AT-ISSUE 22000 28120 Nature of Case Personal Injury, Property Damage or Wrongful Death, Involving Motor Vehicle 28130 All Other Personal Injury, etc. 28110 28140 Family Law Eminent Domain 28150/28160 Other Civil 1. Jury trial requested: Yes No 23000 and 24500/23001 24000 2. Time estimated for trial: days. If the estimate of trial time is 5 hours (1 day) or less, nonjury, and all parties join in the estimate of trial time (silence will be deemed as joining), this case will be set for trial as a short cause matter (for calendaring purposes, Desert District 2 hours or less). 24500/24501 3. Case entiltled to preference Yes No Under code section: 26000/26001 4. Is equitable relief sought? Yes No 5. Does the amount in controversy exceed $50,000 as to any plaintiff? Yes No 6. Are the parties claiming an exemption from mandatory arbitration pursuant to Rule 1600.5, California Rules of Court? Yes No 7. If you are counsel for plaintiff and you are not claiming exemption, do you elect to refer matter to arbitration? Yes No 8. If you are counsel for plaintiff and do not elect arbitration, do you object to the matter being ordered to arbitration? Yes No 9. Are the pleadings proper and the issues joined? Yes No 10. Is discovery completed partially completed? List discovery to be completed and date for completion. 11. Is there any law and motion pending or contemplated? No Date: Has the motion been filed? Yes 12. If personal injury: a. Nature and extent of injuries: b. c. d. e. f. Yes No Total medical expenses to date: Future medical expenses: Loss of earnings to date: Future loss of earnings: Other special or general damages: 13. Indicate party being represented: Plaintiff Attorney Firm Address Defendant Attorney Firm Address Telephone Telephone For additional parties, please attach a separate sheet. AT-ISSUE MEMORANDUM (Rule 206, 207) Calendar No. 27000/27005 American LegalNet, Inc. 12-858-356 Rev. 8/1/07 www.FormsWorkflow.com SB-3 I hereby represent to the Court that this case is at issue as to all essential parties served with process or appearing therein; that no amended or supplemental complaint or cross-complaint or other affirmative pleading remains unanswered; that to my knowledge no other parties will be served with a summons prior to the time of trial, and I know of no further pleading to be filed and know of no reason why the case should not be tried as soon as the calendar of the Court will permit. Date Attorney(s) DECLARATION OF SERVICE BY MAIL I, , declare: That is and was, at all times herein mentioned, a citizen of the United States and a resident of the County of San Bernardino, over the age of eighteen years and not a party to nor interested in the within action; that h business address is City of , County of , State of California; that on the day of , , he served the within At-Issue Memorandum upon by depositing a copy thereof, enclosed in a sealed envelope with postage thereon fully prepaid, in the United States Post Office mail box at , addressed as follows: I declare under penalty of perjury that the foregoing is true and correct. Executed on , at , California. Declarant Signature American LegalNet, Inc. www.FormsWorkflow.com