Joseph E. Smith Clerk of the Circuit Court St. Lucie County, Florida County Civil division 250 N.W. Country Club Drive Port Saint Lucie, Florida 34986 (772) 785-5880 In the County Court, Nineteenth Judicial Circuit, in and for County of St. Lucie, State of Florida � Civil Division Case No: PLAINTIFF(S), VS DEFENDANT(S). STIPULATION FOR INSTALLMENT SETTLEMENT AND STAY AND ORDER APPROVING STIPULATION Plaintiff(s) and defendant(s), by the signatures below stipulate that defendant(s) is/are indebted to Plaintiff(s) in the sum of $________________ plus court costs of $_________________, interest of $ _______________ and attorney's fees of $ ___________________, which defendant(s) agree(s) to pay in installments of $ ___________________, the first of such payments to be due on the _______ day of ___________________, 20 ____ and continuing each ___________ until paid in full. If the total sum is paid timely and in full, plaintiff(s) agree(s) that no judgment shall be entered against the defendant(s), and that additional costs, interest and attorney's fees, if any, shall be waived. If the defendant(s) shall default in payment hereunder, plaintiff shall be entitled to judgment, execution, costs, interest at the rate of ___% or at the contract rate, and attorney's fees, after written application to the court, without notice. Defendant(s) acknowledge(s) delivery of a true copy hereof at St. Lucie County, Florida. ALL PAYMENTS ARE TO BE MADE PAYABLE TO: ________________________________________ and mailed or delivered to: __________________________________________________________________________________ Additional conditions: _______________________________________________________________ __________________________________________________________________________________ TIME IS OF THE ESSENCE IN THIS AGREEMENT ________________________________________ __________________________________ Plaintiff/Attorney Defendant ________________________________________ __________________________________ Telephone Telephone By: ____________________________________ __________________________________ Defendant __________________________________ Telephone ORDER STAYING CAUSE AND APPROVING STIPULATION On the foregoing stipulation signed, delivered and confirmed at St. Lucie County, Florida, further proceedings in this cause are stayed pending notice from plaintiff that the stipulation has been fulfilled or violated. ORDERED at Port St. Lucie, Florida this __________________________________________. ________________________________________ COUNTY JUDGE Revised 2/5/10 American LegalNet, Inc. www.FormsWorkFlow.com