APPENDIX E (L.R. 6.08) IN THE COMMON PLEAS COURT, BUTLER COUNTY, OHIO : : : : : CASE NO: ORDER OF DISMISSAL Date: Plaintiff, vs. Defendant. ::::::: The Court having been advised by the parties that the above action has been settled; It is the order of this Court that this action is dismissed with prejudice. It is further provided that any of the parties may, upon good cause shown, within sixty (60) days, request further court action if settlement is not consummated. Upon agreement and within sixty days, the parties may submit a supplementary entry outlining details of the settlement. Costs to _____________________________. SO ORDERED. _____________________________ JUDGE Copies to: Appendix Page 7 American LegalNet, Inc. www.FormsWorkFlow.com