IN THE SHELBY COUNTY COURT OF GENERAL SESSIONS ) Plaintiff ) VS. ) Defendant ) Set On Civil No. CONSENT ANNOUNCEMENT VIA FACSIMILE I hereby request, that the above case, by agreement of all the parties, and with permission of the court: 1. Be continued to 2. Be dropped from the calendar 3. Be voluntarily non-suited at plaintiff's cost 4. Be dismissed with prejudice at plaintiff's cost 5. Be dismissed with prejudice at defendant's cost 6. Pursuant to Court Rule V have judgment entered as follows: at o'clock M SEE ATTACHED CONSENT ORDER By my signature I hereby certify to the court that I am licensed to practice law in the state of Tennessee and that the above announcement is made with the express consent of all the parties. Attorney for Plaintiff/defendant (Please sign) Date Please print of type attorney's name here B.P.R. number (Transmit facsimile to (901) 222-3415) Please see back of this form for important instructions American LegalNet, Inc. www.FormsWorkFlow.com INSTRUCTIONS In order to take advantage of this procedure the following rules must be followed. 1. Announcements must be on this form or an exact duplicate of this form. 2. Announcements must be signed by an attorney (original signature, no stamps) and the attorney's name must be typed or legibly printed in the space provided. Forms that do not comply will be ignored. 3. Announcements must be by the express consent of all the parties. Otherwise, it is not a consent announcement. The fact that you have not heard from one or more of your opponents does not mean that they agree with your announcement. There are only two exceptions to this rule. The plaintiff may, at plaintiff's cost, enter either a voluntary non suit or a dismissal without consent of the parties. There will be no other exceptions. 4. Documents transmitted must be imprinted with a fax banner containing information that identifies the origin of the transmission. 5. This form may be transmitted via facsimile or may be hand carried to the court. 6. Consent judgments must comply with Rule 5.0 of the Rules of Court. 7. Fax Announcements MUST be received ABSOLUTELY BEFORE the time of the case setting. This procedure will be restricted to use by ATTORNEYS ONLY. American LegalNet, Inc. www.FormsWorkFlow.com