JDF 873SC 6 /19 ORDER APPROVING SETTLEMENT OF CLAIM S Page 1 of 2 District Court Denver P robate Court County, Colorado Court Address: In the Interest of: Respondent COURT USE ONLY Case Number: ORDER APPROVING SETTLEMENT OF CLAIMS PURSUANT TO C.R. P .P. 62 THIS MATTER comes before the Court on the Petition for Approval of Settle ment of Claim s Pursuant to C.R.P.P. 62 of respondent The h earing w as held on (date) . The p etitioner and the r espondent appeared at the hearing . Also, in attendance were: . The Court, having considered the reasonableness of the proposed settlement, and having reviewed the Petition, all of the attachments thereto, the exhibits offered during the hearing, the relevant authority, and having heard the testimony of : , and having considered the statements of counsel, the Court finds that : 1. Venue is proper; 2. Any required notices have been given or waived; 3. It is in the best interest of the respondent to settle the claim of the respondent against in the amount of $ ; 4. The parties have been advised of and understand the finality of the settlement. 5. In light of the supporting document ation provided and/or testimony presented at the hearing , t he requested attorney fees and costs of $ are: allowed . disallowed. adjusted and allowed by the Court as follows: The Court further finds that: the Order Appointing Conservator. OR a conservator for the respondent has already been appointed. OR a nother fiduciary for th e respondent is already in place . OR other: American LegalNet, Inc. www.FormsWorkFlow.com JDF 873SC 6 /19 ORDER APPROVING SETTLEMENT OF CLAIM S Page 2 of 2 The Court Orders: 1. T he petitioner is authorized to accept the total amount of $ as full and final settlement of the personal injury claim. 2. This authorization includes the acceptance of $ to be paid by ( name). 3. The following outstanding liens and/or claim against the settlement funds, including any attorney fees, have been considered by the Court and are ALLOWED. The petitioner is further authorized to execute the Settlement Agreement(s) and Releases with (name) and fully discharge said claims and to pay the following out of the proceeds : $ to (name of payee). $ to (name of payee). $ in attorney fees to (name of attorney/law firm). $ in costs to ( name of attorney/law firm). Other: The following outstanding liens and/or claim against the settlement funds, including any attorney fees, have been considered by the Court and are DISALLOWED for the reasons set forth below: 4. The Court, pursuant to C.R.P.P. 62, and having taken into account the nature and scope of the proposed any), the cost of any relevant factors pursuant to C.R.S. 247 15 - 14 - 101, et seq, finds that it is in the best interests of the Respondent/Minor to make the following protective arrangement(s) for the conservation and use of the net settlement fund s . The net settlement amount of $ is to be: deposited into a restricted account from which there shall be no withdrawals without prior Court approval. The funds shall be deposited within days of the issuance of this Order and the petitioner shall file an acknowledgment of said deposit by the filing of JDF 867 SC . administered in accordance with the Order Appointing Conservator is sued on (date). other: 5. The Court further orders that there shall be no payment of attorney fees until the Court has received and acknowledged the deposit of the net settlement amount. Date: Judge Magistrate American LegalNet, Inc. www.FormsWorkFlow.com