Settlement Statement Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Settlement Statement Form. This is a Illinois form and can be use in USDC Southern Federal.
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Tags: Settlement Statement, Illinois Federal, USDC Southern
IN THE UNITED STATES DISTRICT COURT
FOR THE SOUTHERN DISTRICT O F ILLINOIS
Plaintiff(s),
vs.
Defendant(s).
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SETTLEMENT STATEMENT OF
_______________, ATTORNEY FOR _______________
This Settlement Statement is submitted ex parte pursuant to Order of the Court and shall not become a part
of the official court file. Neither this statement nor communication during the settlement conference with the settlement
judge can be used by any party in the trial of the case. This statement should not exceed five (5) pages in length.
Your position or interpretation of the factual issues:
Your position as to the issues of law:
Name of Trial Attorney:
Name of person with ultimate settlement authority who will be present at the Settlement Conference.
If insurance is involved, include name of carrier and name of its representative with unrestricted
authority:
Nature of relief requested:
Nature and extent of injuries, if applicable:
Outline of your discovery plan including your estimate of the total number of depositions you expect to
take:
Nature and extent of discovery completed to date:
Your estimate of the total expenses to your client to the present and through trial including (a) legal fe es,
(b) travel expenses, (c) expert witness fees and expenses, (d) cost of deposition transcripts, (e) witness
fees, and (f) any other foresee able miscellaneous expenses:
Summarize settlement discussions you have had with opposing party including demands and offers:
Date of last settlement discussion __________________________.
DATED: __________________________
SIGNED:
__________________________________
Responsible Attorney
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