30-20 () NOTICE OF SELECTION OF ARBITRATION AND SETTING OF DATE HEARING 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 NOTICE OF SELECTION OF ARBITRATOR AND SETTING OF DATE FOR HEARING vs. Defendant/Respondent P : Phone No : D : Phone No : The parties have agreed that the arbitrator will be: N ame : B ar No . Phone: Email : A ddress : The arbitrator has scheduled a hearing: Date : T ime : a . m . p. m . Location : Chose one T his date is within the 9 1 days allowed T his date is more than 91 days from assignment to arbitration must be approved by the court This date is more than 180 days from assignment to arbitration and must be approved by the arbitration judge CERTIFICATION I hereby certify that the above information is as accurate and that I have sent copies of this notice to all parties/attorneys of record and the arbitrator Date Signature of Plaintiff/Attorney for Plaintiff Order approving hearing date beyond 90 days from assignment Approved Denied American LegalNet, Inc. www.FormsWorkFlow.com