EXHIBIT G Superior Court of Washington County of Kitsap No. __________________________ __________________________________________, Plaintiff(s), RESPONSE TO STATEMENT vs. OF ARBITRABILITY __________________________________________, (RSSA) Defendant(s). TO THE CLERK AND TO ALL OTHER LAWYERS: (Per List on Reverse Side.) The undersigned lawyer disagrees with the prior Statement of Arbitrability filed in this case and contends that this case: Should be arbitrated Should not be arbitrated for the reasons indicated in Part II. II. RESPONDED STATEMENT OF ARBITRABILITY This case is subject to arbitration because the sole relief is a money judgment, and it invol ves no claim in excess of $35,000.00, exclusive of attorney fees, interests, an d costs. The undersigned contends that its claim exceeds $35,000.00, but for purposes of arbitration waives any claim in excess of that amount. This case is not subject to mandatory arbitration because: (a) Plaintiffs claim exceeds $35,000.00; (b) Plaintiff seeks relief other than a money judgment; (c) Defendants counterclaim or cross claim exceeds $35,000.00; (d) Defendants counterclaim or cross claim seeks relief other than a money judgment; or (e) Case is not an appeal of a Small Claims Judgment from District Cou rt. III. INSTRUCTIONS 3.1 Important: Type the names and address of all lawyers on reverse side. 3.2 Serve a copy on the other parties and file the original with the COUNTY CLERK. 3.3 Provide a copy to the Arbitrator Department of the Superior Court. Dated: ________________________________ __________________________________________ Attorney for ________________________________ Type Name: ________________________________ RESPONSE TO STATEMENT OF ARBITRABILITY (Rev. 9/02)