Form #3 STATE OF NORTH CAROLINA COUNTY OF HALIFAX Plaintiff: In the General Court of Justice District Court Division File No. VERSUS Defendant: REQUEST FOR PEREMPTORY SETTING A copy of this document must be provided to the Family Court Office. Plaintiff or attorney or Defendant or attorney moves the 1. The undersigned Court for peremptory setting of this case for the following reasons: 2. The undersigned certifies that status of: a) pending motions are: b) discovery is c) pre-trial order is d) mediation is 3. There are expert witnesses involved. There are no expert witnesses involved. 4. Estimated number of days for trial 5. I have contacted the other party and they are in agreement with a peremptory setting for this case, and we have agreed to request the date of . The other party opposes this motion or has not contacted me. I have not contacted the other party, but have served this Request on the other party. NOTE TO THE RESPONDING PARTY: If you oppose this motion you must respond to the Family Court Office within five (5) days at 252-593-5036. Date: Moving Party: Certificate Of Service I hereby certify that a copy of this Request for Peremptory Setting has been served in the following manner: By depositing a copy in the United States mail in a properly addressed, postpaid envelope to: By FAX Date: By placing in plaintiff's attorney's courthouse box By placing in defendant's attorney's courthouse box Moving Party: THIS REQUEST FOR PEREMPTORY SETTING IS: DENIED ALLOWED TO ____________________________ AT ________ AM/PM in Courtroom #___. ________________________________________ Assigned Judge/Family Court Administrator Halifax County Family Court Domestic Rules, Rev. 7/31/08 American LegalNet, Inc. www.FormsWorkFlow.com