Plaintiff or Filing Attorney Information: Name NJ Attorney ID Number Address Telephone Number Superior Court of New Jersey Law Division County Civil Part , Plaintiff, v. Civil Action , Defendant. Order for Summary Jury Trial Docket No: This matter having been reviewed by the court at a Summary Jury Trial Prehearing Conference and the court having determined that this matter appropriate for submission to a Summary Jury Trial and; Counsel having voluntarily agreed to participate in this procedure: IT IS THEREFORE ORDERED that a Summary Jury Trial be held on , 20 at . In the event this matter does not settle as a result of this Summary Jury Trial, a full trial will commence on , 20 at . This date shall be considered a firm and preemptory trial date. IT IS FURTHER ORDERED that the parties will be bound by the Rules of Procedure for Summary Jury Trial except, or in addition to, the following stipulations: A. Time for opening and closing arguments; Plaintiff B. , Defendant . Proposed jury charge will be as follows: C. List of witnesses to be introduced by reference: Revised 11/01/2013, CN 10878-English page 1 of 2 American LegalNet, Inc. www.FormsWorkFlow.com D. List of all physical exhibits, documents and expert reports to be introduced: E. Any special problems or considerations pertaining to this Summary Jury Trial: , J.S.C. The parties do hereby consent to the entry of this order: Plaintiff Print Name Attorney for Plaintiff Print Name Plaintiff Print Name Attorney for Plaintiff Print Name Plaintiff Print Name Attorney for Plaintiff Print Name Defendant Print Name Attorney for Defendant Print Name Defendant Print Name Attorney for Defendant Print Name Defendant Print Name Attorney for Defendant Print Name Revised 11/01/2013, CN 10878-English page 2 of 2 American LegalNet, Inc. www.FormsWorkFlow.com