Fill and Sign the Court Ordered Arbitration Rulesnorth Carolina Judicial Branch Form

STIPULATION AND ORDER Original - F ile Copy - Sched uling C opy-Pl ainti ff C opy - D efendant STA TE OF NOR TH CAROLI NA File N o. ARBITRATION The parties STI PULATE t hat all issues in the above-entitled action may be submitted to arbitration pursuant to the Rules For Court-Ordered Arbitration in North Carolina. The arbit rato r's award sh all b e binding non- bin ding upon the part ies. (see note below) The parties will be ready f or a hearing by t his date: (m ust be held within sixty (60) days o f filing of last r esp onsive plead in g) The following special condi tions and modif ica tions of the arbit ration rules are agreed upo n, subje ct to court appro val: ( INSTRUCTION: Specify any special conditions or m odifications of the arbitra tion ru les you have agreed upon for wh ich yo u seek cour t app roval. S ee Rules Fo r Court-Ordered Arbitration in No rth Ca roli n a. If there are non e, write "none " in space below. ) Coun ty VER SUS I n The General Court Of Ju stice District Court Division G.S . 7A -37.1 ; Rules F or Cour t-Or der ed A rbitr ation In Nor th Carolina Nam e Of Defendan t(s) N am e Of P lai nti ff(s) AOC- CV-912M , Rev. 2/12 © 2012 A dministr ative Of fice of t he Cou rts D ate It i s O RDER ED th at this case be scheduled f o r an arbit ration hear in g t o be sch eduled b y t he Court and conducted in co mplian ce wit h t he Rule s Fo r Court -Ordered Arbitratio n I n Nort h Carolina . Signature D ate Signature D ate Attorney F or Plainti ff(s) Plainti ff(s) Attorney F or Defendant(s) Defendant(s) O RDER Special condi tions and modif ica tions as reque sted a re appro ved b y t he C ourt . N O TE: If y ou check the box m arked "b inding," you will be giving up your right to have your case tried by a ju dg e or ju ry in the e vent that you d isagree with the arbitra tor's a ward. If you do not check either box, your award will be treated as non-binding. Signature Of Presi ding Judge D ate Nam e Of Judge (T ype Or Print)