Legal Statement of Litigation

LEGAL STATEMENT OF LITIGATION

This Legal Statement of Litigation is provided by Declarant: and delivered to Recipient: in connection with the matter pending before , Case No. , Assigned Judge: (the "Action"). The Declarant's principal place of residence or business is:

RECITALS

WHEREAS, Declarant has personal knowledge of the facts set forth below and is competent to testify to those facts; and

WHEREAS, the statements contained in this instrument are provided for use in the Action and may be relied upon by counsel, the opposing party, and the Court as a formal statement of facts and positions; and

WHEREAS, the parties intend that this Statement serve as a clear, contemporaneous account of events, the legal basis asserted, and the relief sought, subject to supplementation consistent with the rules of procedure and discovery.

NOW, THEREFORE, in consideration of the foregoing recitals and the mutual covenants contained herein, Declarant and Recipient hereby state as follows:

1. STATEMENT OF FACTS

1.1 On or about , at or near , the following occurred:

1.2 Subsequent events material to the Action include:

1.3 Declarant identifies the following witnesses and their expected subject matter of testimony:

2. LEGAL BASIS

2.1 Declarant asserts the following causes of action or legal grounds supporting the claims and defenses in the Action:

2.2 Declarant cites the following material facts, admissions, contractual provisions, or statutes believed to establish liability or defense:

3. RELIEF AND DAMAGES

3.1 Declarant seeks the following relief in the Action (specific monetary amounts, injunctive relief, declaratory relief, or other remedies):

3.2 If damages are sought, the demonstrable categories of damages and the estimated amounts are: Compensatory: ; Consequential: ; Other:

4. EXHIBITS AND DOCUMENTARY EVIDENCE

4.1 The following exhibits are attached to and incorporated into this Statement and will be relied upon in the Action:

Exhibit A — Contracts, agreements, or written instruments (specify): Exhibit B — Correspondence, emails, or communications (specify): Exhibit C — Financial records, invoices, or receipts (specify):

5. NOTICES

6. VERIFICATION

I, Declarant, declare under penalty of perjury under the laws of the jurisdiction identified in Section 9 that the foregoing is true and correct to the best of my knowledge, information, and belief. Declarant understands that making a materially false statement may subject Declarant to sanctions, contempt, or criminal penalties as provided by law.

7. MISCELLANEOUS PROVISIONS

Governing Law: This Statement shall be governed by and construed in accordance with the substantive laws of the State of , without regard to conflict of laws principles.

Entire Agreement: This Statement constitutes the entire written statement of the parties with respect to the subject matter hereof and supersedes any prior written statements or representations concerning the same subject matter.

Severability: If any provision of this Statement is held to be invalid or unenforceable, the remaining provisions shall remain in full force and effect.

Amendments; Waiver: No amendment, modification, or waiver of any provision of this Statement shall be effective unless in writing and signed by the party against whom enforcement is sought. A waiver of any breach shall not constitute a waiver of any subsequent breach.

Counterparts: This Statement may be executed in counterparts, each of which shall be deemed an original and all of which together shall constitute one and the same instrument. Facsimile or electronic signatures shall be treated as originals for all purposes.

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