1109GE J Approved May 21, 2018 / May 1, 2019 Exhibit Summary Commissioner Proceedings Page 1 of 4 This is a private record Name Address City, State, Zip Phone Check your email. You will receive information and documents at this email address . Email I am [ ] Petitioner [ ] Respondent [ ] Petitioner [ ] Respondent (Utah Bar #: ) In the District Court of Utah Judicial D istrict County Court Address Petitioner v. Respondent Exhibit Summary ( F or voluminous exhibits in Commiss ioner proceedings ; U tah R ule of C ivil P rocedure 101 ) Case Number Judge Commissioner 1. I am the [ ] petitioner [ ] respondent. 2. I am submitting this Exhibit Summary with the court instead of filing the voluminous exhibit (more than 10 pages) that supports my: [ ] Motion to (name of motion) [ ] Memorandum Opposing Motion to (name of motion) [ ] Reply to Memorandum Opposing Motion to (name of motion) [ ] Other (Utah Rule of Civil Procedure 101(h)(3).) American LegalNet, Inc. www.FormsWorkFlow.com 1109GE J Approved May 21, 2018 / May 1, 2019 Exhibit Summary Commissioner Proceedings Page 2 of 4 3. I have provided the other party with a complete copy of the exhibit. 4. I know that I must bring the original or copy of the complete exhibit to the hearing. 5. One or more of my exhibits is longer than 10 pages. I am providing a summary of those exhibits as a chart, list, spreadsheet or calculation. Copies of the exhibits have been provided to all parties and will be available at any hearing. For each exhibit summary provide a name, a brief summary of the contents, and explain the "foundation" how you came to have the item, or what you know about the item to prove it is authentic. (Attach additional sheets if needed.) Example Name Exhibit D Summary of Contents Itemized list of medical expenses. Foundation Compiled from statements from the insurance company. Name Summary of Contents Foundation Name Summary of Contents Foundation Name Summary of Contents Foundation Name Summary of Contents Foundation American LegalNet, Inc. www.FormsWorkFlow.com 1109GE J Approved May 21, 2018 / May 1, 2019 Exhibit Summary Commissioner Proceedings Page 3 of 4 I declare under criminal penalty under the law of Utah that everything stated in this document is true . Signed at (city, and state or country). Sign atu Date Printed Name American LegalNet, Inc. www.FormsWorkFlow.com 1109GE J Approved May 21, 2018 / May 1, 2019 Exhibit Summary Commissioner Proceedings Page 4 of 4 Certificate of Service I certify that I filed with the court and am serving a copy of this E x hibit Summary on the following people. Ser vice Method Service Address Service Date [ ] Mail [ ] Hand Delivery [ ] E - filed [ ] Email [ ] Left at business (With person in charge or in receptacle for deliveries.) [ ] Left at home (With person of suitable age and discretion residing ther e.) [ ] Mail [ ] Hand Delivery [ ] E - filed [ ] Email [ ] Left at business (With person in charge or in receptacle for deliveries.) [ ] Left at home (With person of suitable age and discretion residing there.) [ ] Mail [ ] Hand Delivery [ ] E - filed [ ] Email [ ] Left at business (With person in charge or in receptacle for deliveries.) [ ] Left at home (With person of suitable age and discretion residing there.) Sign atu Date Printed Name American LegalNet, Inc. www.FormsWorkFlow.com