FORM # 4 STATE OF NORTH CAROLINA 20A JUDICIAL DISTRICT COUNTY OF ___________________________ THE GENERAL COURT OF JUSTICE DISTRICT COURT DIVISION CASE NUMBER_________________________________ ________________________________________) Plaintiff ) ) -V) ) ________________________________________) Defendant ) REQUEST FOR PEREMPTORY SETTING 1. The undersigned moves the Court for a Peremptory Setting of the above case based upon the following reasons: _________________________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ 2. The opposing party requested. 3. A REQUEST FOR SETTING specifying the dates that all parties and witnesses will be available and ready for trial is attached to this form. 4. A copy of this document has been provided to the Family Court Case Manager, CONSENTS OBJECTS to the motion for Peremptory Setting on the dates I HEREBY CERTIFY THAT A COPY OF THIS REQUEST FOR PEREMPTORY SETTING HAS BEEN SERVED ON OPPOSING PARTY IN THE FOLLOWING MANNER: By depositing a copy in the United States mail in a properly addressed, postpaid envelope to: Plaintiff at _____________________________________________________________ Defendant at ___________________________________________________________ Plaintiff’s Attorney Defendant’s Attorney By facsimile to: Plaintiff Defendant By delivering a copy personally to Defendant’s Attorney Plaintiff Plaintiff’s Attorney Defendant Defendant’s Attorney Plaintiff’s Attorney By Sheriff’s service to: _______________________________________________________________ This the ____ day of ______________, ____________. ___________________________________ Signature Attorney/Party ___________________________________ Name ___________________________________ Address/Telephone Number THE REQUEST FOR PEREMPTORY SETTING IS: _________________________ Date DENIED ALLOWED ______________________________________________________ Assigned Judge / Case Coordinator American LegalNet, Inc. www.FormsWorkflow.com