STATEMENT OF ARBITRABILITY - PAGE 1 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 IN THE SUPERIOR COURT OF THE STATE OF WASHINGTON IN AND FOR THE COUNTY OF CLARK Plaintiff, vs. Defendant ) ) ) ) ) ) ) ) ) ) ) No. STATEMENT OF ARBITRABILITY (CLERK222S ACTION REQUIRED) I. CERTIFICATE OF ARBITRABILITY [ ] This case is subject to arbitration because the sole relief sought is a money judgment and it involves no claim in excess of $100,000, exclusive of attorney fees, interest, and cost. Per RCW 36.18.016(25) and Clark county Ordinance 2003-04-24, a mandatory arbitration fee of $220.00 is due upon filing of this document. [ ] The undersigned contends that its claim exceeds $100,000 but for the purposes of arbitration, waives any claim in excess of $100,000, exclusive of attorney fees, interest, and cost. Per RCW 36.18.106(25) and Clark County Ordinance 2003-04-24, a mandatory arbitration fee of $220.00 is due upon filing of this document. American LegalNet, Inc. www.FormsWorkFlow.com STATEMENT OF ARBITRABILITY - PAGE 2 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 II. CERTIFICATE OF READINESS The undersigned attorney certifies that: a. All parties have been joined and served; b. All answers and other mandatory pleadings have been filed and served; c. No additional claims or defenses will be raised; d. This is not an appeal from a lower court; e. Relief other than a money judgment is not being sought; and f. All counsel and/or self-represented parties have been served with a copy of this State of Arbitrability. Date: Signed: Name: WSBA No. Attorney for: Address: Phone: E-mail: Unless excluded from Local Rule 40 (see Local Rule 40(b)), this Statement of Arbitrability shall be filed and served on all parties no later than ten (10) court days prior to the Scheduling Conference (Local Rule 40(c)(4) and LMAR 2.1(a)(2)). Thereafter, a Statement of Arbitrability may be filed only by leave of Court. A courtesy copy of the Statement of Arbitrability shall also be provided to Superior Court Administration and the assigned judicial department at the time of filing. List name, address, and phone number of all parties requiring notice. Name: Name: Attorney for: Attorney for: Address: Address: Phone: Phone: E-mail: E-mail: American LegalNet, Inc. www.FormsWorkFlow.com