Original - Court 1st copy - Plaintiff Approved, SCAO 2nd copy - Defendant STATE OF MICHIGAN CASE NO. JUDICIAL DISTRICT BINDING ARBITRATION AWARD JUDICIAL CIRCUIT PAGE 1 OF 3 COUNTY PROBATE Court address Court telephone no.Plaintiff name(s), address(es), and telephone no(s). Defendant name(s), address(es), and telephone no(s). v Plaintiff attorney, bar no., address, and telephone no. Defendant attorney, bar no., address, and telephone no. Probate In the matter of Basis for Binding Arbitration For: Statutory based on contract Stipulation on court referral; MCR 2.410, MCR 5.143 Against: Other (specify) After Hearing Consent Hearing Transcript made and used ORDER OF AWARD Damages $ Nature of Claim Arbitrated Interest $ Statutory (specify) Costs $ Employment Other (specify)$ Commercial Award $ Contract This judgment will earn interest at applicable statutory rates. Personal injury - Tort Personal injury - Other (specify) Other relief, terms, or conditions: Other (specify) NOTE: Awards based on statutory employment claims must be supported (complete and attach pages 2 and 3). A note or other written evidence of indebtedness has been filed with the clerk for cancellation. Approved as to form, notice of entry waived. Award date Arbitrator Bar no.The award has been entered and will be final unless within 21 days after entry and delivery of the award a motion to vacate, modify, or correct the award is filed. CERTIFICATE OF MAILING I certify that on this date a copy of this award was served on the other parties/attorneys by ordinary mail at the addresses stated above. Date Signature MC 284 (6/03) BINDING ARBITRATION AWARD, PAGE 1 OF 3 MCR 2.410, MCR 3.602>>>> 2 Original - Court 1st copy - Plaintiff Approved, SCAO 2nd copy - Defendant STATE OF MICHIGAN CASE NO. JUDICIAL DISTRICT JUDICIAL CIRCUIT BINDING ARBITRATION AWARD PAGE 2 OF 3 COUNTY PROBATE Court address Court telephone no.Plaintiff name(s), address(es), and telephone no(s). Defendant name(s), address(es), and telephone no(s). v Probate In the matter of Material Findings of Fact: (attach additional pages if necessary) Material Conclusions of Law: (attach additional pages if necessary) Basis for Specific Relief Granted: (attach additional pages if necessary) Other Comments or Information: (attach additional pages if necessary) Date Arbitrator Bar no.MC 284 (6/03) BINDING ARBITRATION AWARD, PAGE 2 OF 3 MCR 2.410, MCR 3.602>>>> 3 Original - Court 1st copy - Plaintiff Approved, SCAO 2nd copy - Defendant STATE OF MICHIGAN CASE NO. JUDICIAL DISTRICT JUDICIAL CIRCUIT BINDING ARBITRATION AWARD PAGE 3 OF 3 COUNTY PROBATE Court address Court telephone no.Plaintiff name(s), address(es), and telephone no(s). Defendant name(s), address(es), and telephone no(s). v Probate In the matter of Witnesses: (attach additional pages if necessary) Name Address Called by Fact/Expert Date Exhibits: (attach additional pages if necessary) Offered by Marked as Description Admitted: Yes/No Date Arbitrator Bar no.MC 284 (6/03) BINDING ARBITRATION AWARD, PAGE 3 OF 3 MCR 2.410, MCR 3.602