In the [ ] District [ ] Justice Court of Utah __________ Judicial District ________________ County Court Address ______________________________________________________ _____________________________________ Settlement Agreement Plaintiff v. Defendant _______________________________ Case Number _____________________________________ _______________________________ Judge And _____________________________________ Defendant The parties have agreed to settle this case as follows: (1) The parties believe that they will comply with this Settlement Agreement by ______________________ (date), and the court may continue the trial until then. (2) Instead of going to trial on their claims and defenses, the parties agree that _____________________________ (name) will pay $_____________ (full amount) to _____________________________ (name) as follows: Amount: $ $ $ $ $ Due on: $ $ $ $ $ Amount: Due on: $ $ $ $ $ Amount: Due on: (3) If a payment is not received within _____ days after the due date, the balance of the full amount is due. If the balance is not paid within _____ days after it is due, ___________________________ (name) may ask the court to (A) enter judgment for the balance due or (B) schedule a trial on the affidavit and/or counter affidavit. Settlement Agreement Approved Board of District Court Judges April 17, 2009 Revised April 29, 2015 Page 1 of 2 American LegalNet, Inc. www.FormsWorkFlow.com (4) When the full amount is paid, ______________________________(name) will ask the court to dismiss this case. (5) Other details. (Write "none" if there are no other details.) (6) Did a mediator help you reach this agreement? [ ] Yes [ ] No If "yes," mediator's name: ______________________________ (7) I agree to the terms stated. I have not included any non-public information in this document. I declare under penalty of Utah Code Section 78B-5-705 that everything stated in this document is true and correct. Date Defendant sign here Typed or printed name Date Plaintiff sign here Typed or printed name Date 2nd Defendant sign here Typed or printed name Date Mediator sign here Typed or printed name (8) The trial is continued. The clerk will review the status of the case on the date stated in Paragraph (1). Judge sign here Typed or printed name Date Settlement Agreement Approved Board of District Court Judges April 17, 2009 Revised April 29, 2015 Page 2 of 2 American LegalNet, Inc. www.FormsWorkFlow.com