) ) SS: COUNTY OF HAMILTON ) STATE OF INDIANA IN THE SUPERIOR COURT NO. 5 OF HAMILTON COUNTY ________________________________________ ________________________________________ v. Plaintiff(s) CAUSE NO. 29D05-________________________ ________________________________________ ________________________________________ Defendant(s) PRE-TRIAL SETTLEMENT AGREEMENT The parties, now wishing to compromise and settle this cause, do agree that judgment be entered in favor of the Plaintiff and against the Defendant as follows: a) b) c) d) Damages Interest Attorney fees $____________________________ _____________________________ _____________________________ Other _________________ _____________________________ Total $____________________________ Court costs $____________________________ The judgment is to be paid: (____) (____) in full within _____________ days, or by ______________________, 20_____. in payments of $______________ per ________________________ beginning _______________________________, until paid, and Plaintiff shall not execute on this judgment so long as payments are current. (____) _______________________________________________________________ _______________________________________________________________. This judgment will accrue legal interest at the rate of eight percent (8%) per annum until paid in full. All payments shall be made: (____) (____) (____) to the Hamilton County Clerk to the Plaintiff directly, or to Plaintiff's counsel of record American LegalNet, Inc. www.FormsWorkFlow.com The parties also agree as follows: ______________________________________________ __________________________________________________________________________ __________________________________________________________________________ It is understood by the parties that, pursuant to S.C. 7, this settlement shall be filed with the Clerk, and upon approval of the Court, it shall be entered in the Small Claims judgment docket of the Court and shall have the same effect as a judgment of the Court. _________________________________ Plaintiff _______________________________ Defendant Social Security no. XXX-XX-__ __ __ __ (last four digits only) _________________________________ Plaintiff _______________________________ Defendant Social Security no. XXX-XX-__ __ __ __ (last four digits only) APPROVAL OF SETTLEMENT The parties having filed their Pre-Trial Settlement Agreement as set forth above, said settlement agreement is now approved, and the Clerk is ordered to enter it on the Small Claims judgment docket of this Court as a judgment for the Plaintiff and against the Defendant in the amount of $__________________ plus costs of $________________, and the parties are ordered to carry out the terms of their settlement. This judgment will accrue legal interest at the rate of eight percent (8%) per annum until paid in full. All pending hearings are hereby vacated. Date: _______________________ ____________________________________ Judge/Magistrate, Hamilton Superior Court 5 Rev. 7/15 pretrialsettle.doc American LegalNet, Inc. www.FormsWorkFlow.com