IN THE CIRCUIT COURT OF COUNTY, WEST VIRGINIA State or Plaintiff v. Case No. Defendant STIPULATION: DESIGNATED SPECIAL JUDGE WHEREAS the parties herein have moved the disqualification of the Honorable , the presiding judge in this case; and WHEREAS the presiding judge has agreed to his/her recusal or has granted the disqualificafion motion; and , through the Administrative Director of the WHEREAS the Honorable Supreme Court of Appeals, has consented to accept assignment to this venue for the purpose of serving as special judge in this case; NOW THEREFORE the parties hereby STIPULATE the designation of the Honorable to serve as special judge in this case. State or Plaintiff Defendant Date: Date: Judge Date: ******************************************************************************************* IN THE SUPREME COURT OF APPEALS OF WEST VIRGINIA The recusal or disqualification entailed above is The stipulation above is approved approved disapproved. disapproved. The appropriate order will follow within 7 days. Date: Chief Justice Rule 17, Trial Court Rules for Trial Courts of Record. SCA-CC100/I-93 American LegalNet, Inc. www.USCourtForms.com