File No STATE OF NORTH CAROLINA IN THE GENERAL COURT OF JUSTICE COUNTY OF ___________________ SUPERIOR COURT DIVISION Name Plaintiff _____________________________________ REQUEST FOR Vs. PEREMPTORY SETTING Name Defendant _____________________________________ To: The Trial Court Coordinator The undersigned attorney(s) request a peremptory setting of the above captioned case for trial at the ____________, 20___ Session of the Superior Court for ______________ County. This request is based upon the following reasons: ________________________________________________________________________ ____ ________________________________________________________________________ ____ ____________________________________________________________________________ ________________________________________________________________________ ____ ________________________________________________________________________ ____ In conjunction with this request, the undersigned requesting counsel doe s herewith certify to the Court as follows: (Check to certify) [ ] 1. That requesting counsel has carefully and completely reviewed his/her fi le, and that said case is in all respects ready for trial on the dates requested. [ ] 2. That requesting counsel has reviewed his/her professional and personal schedule and has no conflicts which would prevent trial at the time requested. [ ] 3. That counsel has conferred with opposing counsel concerning this request , and has been assured that opposing counsel has no conflicts which would interfere with trial on the dates requested [ ] 4. That all counsel have consulted with all witnesses, including expert wit nesses, regarding the requested trail date, and has been assured that all witnes ses will be available for trial on the dates requested. [ ] 5. That all discovery in said case has been completed, or will be completed by the requested trail date, and that no delay will be requested for discovery matters. [ ] 6. That all motions, including trial motions have been heard, or will be scheduled and heard before the requested trial date. That no delay will be sought for the scheduling or hearing of motions. [ ] 7. That copy of tentative pre-trial order has been agreed to by counsel and is attached hereto as a part of this request. (Over) LGF-CV503 (page 1) American LegalNet, Inc. www.USCourtForms.com>>>> 2 [ ] 8. That counsel knows of no presently existing circumstances which would pr event or delay trial at the time requested. That should any such circumstances arise which would likely delay or obv iate trial, counsel will advise the Court immediately upon receiving knowledge of such circumstances. If counsel is unable to certify as to any of the foregoing matter, a wri tten explanation is attached setting forth the reason for such non-certification. ______________________________________________ Date: _________________ Attorney for [ ] Plaintiff [ ] Defendant Copies to: A) _________________________________ Date: ________________ Opposing Counsel B) _________________________________ Date: ________________ Opposing Counsel The above request for a Peremptory Setting is: [ ] Denied [ ] Approved for:______________________________ Date:___________ _____________________________________________ Trial Court Coordinator LGF-CV503 (Page 2) American LegalNet, Inc. www.USCourtForms.com