VN224 Calendar No: ____________________ Parties sworn in: Yes No Date: / / 20 __ Ventura County Superior Court - Small Claims Settlement Agreement The Parties to this action have reached a Settlement in Case #_____________________________________________________ The Terms and Conditions of this agreement are intended to be binding and enforceable. Plaintiff: _________________________________________ Plaintiff: _________________________________________ THE PARTIES HAVE AGREED TO THE FOLLOWING: ____________________________ agrees to pay ____________________________ the sum of $ ________________ Each party will bear their own costs Defendant will pay costs Defendant: ________________________________________ Defendant: ________________________________________ __________________________________ agrees to accept payment from ___________________________________ in full on _________________________ , 20_____ in installments of: $ _______________ per _______________ First payment will be due on __________________ Subsequent payments will be due on _______________________until balance is paid in full; Payments will be made by: Personal Check Cashier's Check Money Order Balance becomes due and payable in FULL, if payment is not received within __________ days of the due date. OTHER ___________________________________________________________________________________________ ______________________________________________________________________________________________________ ______________________________________________________________________________________________________ ______________________________________________________________________________________________________ ______________________________________________________________________________________________________ ______________________________________________________________________________________________________ ______________________________________________________________________________________________________ _____________________ and _____________________ hereby release and forever discharge _____________________ and _______________________ , from all claims that were asserted or could have been asserted in this case. All parties request a stipulated judgment Plaintiff requests dismissal with prejudice (Action cannot be re-filed) Plaintiff party requests dismissal without prejudice All parties consent to the Court retaining jurisdiction to enforce this settlement under CCP § 664.6 Plaintiff Signature: ________________________________ Defendant Signature: _________________________________ Plaintiff Signature: ________________________________ Defendant Signature: _________________________________ The parties understand that they should notify the court in writing of any changes of address until such time as the terms of this agreement are fully performed. Mediator Name: Optional Form VN224 7/09 ________________________________ Co-Mediator Name: _________________________________ Ventura County Superior Court ­ Small Claims Settlement Agreement American LegalNet, Inc. www.FormsWorkFlow.com