Appointment And Fee Report - Mediation
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Appointment And Fee Report - Mediation Form. This is a Texas form and can be use in Court Of Appeals Appellate Courts.
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Tags: Appointment And Fee Report - Mediation, Texas Appellate Courts, Court Of Appeals
In The
Court of Appeals
For The
First District of Texas
NO. 01–0___–__________–CV
_________________________, Appellant(s)
V.
_________________________, Appellee(s)
On Appeal from the __________ Court
__________ County, Texas
Trial Court Cause No. __________
APPOINTMENT AND FEE REPORT—MEDIATION
The Court referred this cause to mediation. ___________________________
was appointed mediator in this appeal based on the agreement of the parties.
After the referral to mediation, the cause:
G
settled before the mediation was conducted.
G
settled during mediation.
G
did not settle.
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G
Based on the agreement of the parties and the mediator, the mediator has
been paid a fee as follows:
$________________ paid by ____________________________.
$________________ paid by ____________________________.
$________________ paid by ____________________________.
$________________ paid by ____________________________.
The parties understand that the Court will tax this fee as a cost of the
appeal.
G
The parties have agreed to another method of payment and understand
that the Court will not tax this fee as a cost of appeal.
_________________________________
Mediator’s name:
State Bar of Texas identification number:
Mailing address:
Telephone number:
Fax number:
2
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