IN THE SUPERIOR COURT OF WASHINGTON FOR SKAGIT COUNTY NO. Plaintiff(s), ORDER ON DEMAND FOR ARBITRATION vs. Defendant(s). THIS MATTER having come on for an Order concerning arbitrability and it appearing that the matter before the Court upon due notice to all parties, and the Court being fully advised in the premises, NOW, THEREFORE, IT IS ORDERED that this case: [ ] IS SUBJECT TO MANDATORY ARBITRATION and is hereby transferred to arbitration. [ ] IS NOT SUBJECT TO MANDATORY ARBITRATION, because: [ [ [ [ ] ] ] ] [ ] [ ] Opposing party’s claim exceeds $50,000; Opposing party seeks relief other than a money judgment; A party’s counter or cross claim exceeds $50,000; A party’s counter or cross claim seeks relief other than a money judgment; or This case is an appeal from a lower court not subject to Mandatory Arbitration. Other: _____________________________________________________ ORDER ON DEMAND FOR ARBITRATION - 1 APPENDIX VI (Rev. Effective 9/1/2009) American LegalNet, Inc. www.FormsWorkFlow.com DONE IN OPEN COURT this ____ day of _______________________, 200___. ___________________________________ JUDGE/COURT COMMISSIONER Presented by: ________________________________ Attorney for Plaintiff, WSBA # ________________________________ Attorney for Defendant, WSBA # Address _________________________ Address _________________________ ________________________________ ________________________________ Phone __________________________ Phone __________________________ ORDER ON DEMAND FOR ARBITRATION - 2 APPENDIX VI (Rev. Effective 9/1/2001) American LegalNet, Inc. www.FormsWorkFlow.com