State of North Carolina County of Mecklenburg _________________________________ _________________________________ Plaintiff(s) In the General Court of Justice Superior / District Court Division Case Number: _______________ Consent Notice of Telephonic Proceeding ADR Hearing Motion Trial -vs- _________________________________ _________________________________ Defendant(s) Please be advised that the following will be heard: on _____________________, 20____, at _____________ ___m. in Courtroom _____________, ____________East Fourth Street, the ______________Courts Building, Charlotte, NC 28202. Request by: ____________________________________ Attorney for PTF , DEF , Requesting Party is without counsel Phone Number: ________________________________ Consented to: ___________________________________ Attorney for PTF , DEF , Party is without counsel Phone Number: _________________________________ Consented to: ___________________________________ Attorney for PTF , DEF , Party is without counsel Phone Number: _________________________________ The above described matter is hereby approved for telephonic proceeding on the date and time listed above. ______________________________ ___________________ Presiding Judge Date Form CCF-43, revised 8/2010 American LegalNet, Inc. www.FormsWorkFlow.com