COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : STATE OF INDIANA COUNTY OF HAMILTON ) ) SS: ) Index No. IN THE HAMILTON SUPERIOR COURT NO. 4 : Calendar No. CAUSE NO.: 29D04-__________-SC-____________ JUDICIAL SUBPOENA Plaintiff(s) ____________________________________, -againstPlaintiff(s), vs. ____________________________________, : : : ____________________________________, Defendant(s). Defendant(s) : ...................................................... PRE-TRIAL SETTLEMENT AGREEMENT The parties, now wishing to compromise and settle this cause, agree to enter judgment in favor of the THE PEOPLE OF the Defendant(s)__________________________________________________ as follows: Plaintiff(s) and againstTHE STATE OF NEW YORK a. Damages $____________ TO b. Prejudgment Interest $____________ c. Attorney fees $____________ d. Court costs $____________ GREETINGS: e. Other $____________ TOTAL $____________ WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before The parties also agree as follows: , the Honorable at the Court 9 that the judgment is to be paid in full withinat located ____________ days, or by _____________________, 200__. County of 9 that the judgment is, to be paid in payments of $_____________ every ________________________ beginning on in room on the day of , 20 , at o'clock in the noon, and at any recessed or adjourned date, to testify until paid, and Plaintiff(s) shall not execute on this judgment so ___________________, 200__, and give evidence as a witness in this action on the part of the long as payments are current. 9 (other) ____________________________________________________________________________________. 9 and that the undersignedto comply with this subpoena isfor a compliance contempt of court and will make you liable to Your failure Defendant will appear in Court punishable as a hearing on _______________________, the party on whose behalf this subpoena was issued for attachment the Defendant and to damages sustained 200__ at ____:____ a.m., and that the Court may issue a body a maximumifpenalty of $50 fails all appear in Court and as a result of your failure to comply. is in violation of the terms of this agreement. The undersigned parties understand that this settlement shall be filed with the Clerk, and upon approval of the , one of the Justices of the Court, it shall Witness, Honorable claims judgment docket of the Court. be entered in the small Court in County, day of , 20 Dated: _______________, 200__ _________________________ ____________________________ Plaintiff Plaintiff Dated: _______________, 200__ _________________________ ____________________________ Defendant Defendant (Attorney must sign above and type name below) Attorney(s) for APPROVAL OF SETTLEMENT The Court approves the agreement and orders the Clerk to enter it on the judgment docket as a judgment for the Plaintiff(s) and against the Defendant(s) as indicated above in the amount of $_____________________ plus costs of $__________. The parties are ordered to carry out the terms of their settlement. Office and P.O. Address Dated: __________________, 200__ Distribution: ____ Plaintiff(s) ____ Defendant(s) sc4form.010 (revised October 31, 2003) ___________________________________ Judge, Hamilton Superior Court No. 4 Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com