30-15 () ARBITRATON AWARD OR SETTLEMENT NOTICE Page 1 of 2 IN THE CIRCUIT COURT OF THE STATE OF OREGON FOR THE COUNTY OF MULTNOMAH 1021 SW 4TH AVENUE, PORTLAND OR 97204 Case No. Plaintiff/Petitioner ARBITRATION AWARD OR vs. SETTLEMENT NOTICE Defendant/Respondent This case has been settled. No arbitration award will be filed A hearing was held on the day of 20 The claims of the parties have been resolved as follow: Is any part of this award based on the failure of any party to participate? Yes No - participating party is: ARBITRATION AWARD Creditor: Attorney: Debtor: Award Amount: Pre - Award Interest: Post - Award Interest: Costs (Including Prevailing Party and Arbitration Fees) : Attorney Fees: Pursuant to SLR 13.085(1), the arbitrator shall not file an arbitration award with the court until the issues of attorney fees and costs have been determined. The arbitrator shall certify on the award that no issues of costs or attorney fees remain undecided upon filing of the award. Unless otherwise ordered by the court, no amended or supplemental arbitration award shall be filed, regardless of whether judgment has been entered on the original. Certification I hereby certify that the above information is accurate and that I have served true copies of this award on all parties/attorneys of record by : MAIL FAX HAND DELIVERY American LegalNet, Inc. www.FormsWorkFlow.com 30-15 () ARBITRATON AWARD OR SETTLEMENT NOTICE Page 2 of 2 At their addresses as set out here: Date Signature To Appeal This Award Time within which Appeal Must Be Filed: Within 20 days after the filing of a decision and award with the clerk of the court under subsection (1) of this section, a party against whom relief is granted by the decision and award or a party whose claim for relief was greater than the relief granted to the party by the decision and award, but no other party, may file with the clerk a written notice of appeal and request for a trial de novo of the action in the court on all issues of law and fact. A copy of the notice of appeal and request for a trial de novo must be served on all other parties to the proceeding. After the filing of the written notice a trial de novo of the action shall be held. If the action is triable by right to a jury and a jury is demanded by a party having the right of trial by jury, the trial de novo shall include a jury. ORCP 10 B may apply to the time for filing the notice of appeal. See Guess v. Lee, 198 Or App 304 (2005). Fees and Deposit Required: At the time of filing a notice of appeal, the party filing must also satisfy the requirements of ORS 36.425 (2)(b) and (c), which provide: (b)If a party files a written notice under paragraph (a) of this subsection, a trial fee or jury trialfee, as applicable, shall be collected as provided in ORS 21.225.(c)A party filing a written notice under paragraph (a) of this subsection shall deposit with theclerk of the court the sum of $150. If the position under the arbitration decision and award ofthe party filing the written notice is not improved as a result of a judgment in the action on thetrial de novo, the clerk shall dispose of the sum deposited in the same manner as a fee collectedby the clerk. If the position of the party is improved as a result of a judgment, the clerk shallreturn the sum deposited to the party. If the court finds that the party filing the written notice isthen unable to pay all or any part of the sum to be deposited, the court may waive in whole or inpart, defer in whole or in part, or both, the sum. If the sum or any part thereof is so deferred andthe position of the party is not improved as a result of a judgment, the deferred amount shall bepaid by the party according to the terms of the deferral American LegalNet, Inc. www.FormsWorkFlow.com