(Copy Receipt) SUPERIOR COURT OF WASHINGTON COUNTY OF SPOKANE Plaintiff(s): ________________________________ (Clerk’s Date Stamp) CASE NO. ___________________________ vs. Defendant(s): _______________________________ STATEMENT OF ARBITRABILITY MANDATORY ARBITRATION (STA) To the Clerk of the Court and to all parties: ________________________________________________ NOTICE: This case will be set for mandatory arbitration. The undersigned certifies that this case is at issue, an answer has been filed on ___________________, that all pleadings are on file and no affirmative pleadings are unanswered and that the deadline for filing for mandatory arbitration has not expired. Any party not in agreement with this statement may schedule an Objection to Setting before the assigned judge, or presiding judge. Type of case: Commercial Tort Property Rights This case is subject to arbitration pursuant to MAR 1.1 and LMAR 1.1. The undersigned contends that this claim exceeds $50,000, but for purposes of arbitration, waives any claim in excess of $50,000. Dated: __________________ Filed by: (x) _______________________________ Lawyer for Plaintiff Lawyer for Defendant Firm Name Firm Name Address Address Telephone WSBA # Telephone WSBA # FILE WITH THE SPOKANE COUNTY CLERK’S OFFICE and provide a copy to the Mandatory Arbitration Department, Superior Court Administrator’s Office, 1116 W. Broadway, Spokane, WA 99260 STATEMENT OF ARBITRABILITY MANDATORY ARBITRATION LMAR 02.0200; LMAR 2.1(d) Rev 09/2005 American LegalNet, Inc. www.USCourtForms.com