Fill and Sign the New Jersey Memorandum Form

APPENDIX XXII-B 7 . 4:21A-4) UNIFORM COMMERCIAL ARBITRATION MEMORANDUM (All Information Must Be Legibly Printed or Typed) PLEASE RETURN TO: Number of Witnesses you are Anticipated length of time offering at Arbitration: ____________________ for your presentation: 1. Brief factual outline as to your position: 2. Set forth disputed facts and issues by any part in outline form: 3. Provide facts that you anticipate will be undisputed: 4. Set forth legal issues to be addressed by arbitrator: 5. Please quantify elements of your alleged damages: 6. Set forth issues addressed in expert reports (attach copies): 7. Discuss mitigation of damages (if applicable): 8. Describe the basis for the defenses you assert to the complaint and/or counterclaim: 9. Have all parties been served: Yes: No: 10. Are any parties in default? Yes: No: 11. List any unserved and/or defaulted parties: 12. Should any special expertise be required by the arbitrator, e.g., should the arbitrator be familiar with a particular discipline and/or industry? If yes, please specify: I certify this information to be complete and accurate and that copies of this statement have been timely served on all adversaries pursuant to R. 4:21A-4 _________________________________ Dated: Signature of Attorney or Pro Se Litigant _________________________________ (Please print or type name) Attorney for:_______________________ NOTE: Information provided on this form can not be used for evidentiary purposes in any trial of this matter