SUPERIOR COURT OF NEW JERSEY CHANCERY DIVISION COUNTY GENERAL EQUITY Docket No FPlaintiff, v. ,et al Defendant. INTERIM PROVISIONAL SETTLEMENT (IPS) ACMS CODE (XPS) The defendant has agreed to make probationary payments to the plaintiff for a period of months according to the terms set forth below. Date: Defendant Print Name Plaintiff Counsel Print Name Defendant Signature Plaintiff Counsel Signature Defendant Counsel Print Name Defendant Counsel Signature American LegalNet, Inc. www.FormsWorkFlow.com Revised 05/05/2010, CN 11386-English page 1 of 1