Fill and Sign the Stipulation Settlement Form

STATE OF MINNESOTA DISTRICT COURT COUNTY OF       JUDICIAL DISTRICT FAMILY COURT DIVISION In Re the Marriage of: Court File No. , Petitioner, STIPULATION OF SETTLEMENT AND , Respondent, WHEREAS, the above-named Plaintiff commenced an action on an account stated by service upon the above-named Defendant of a Summons and Complaint; and WHEREAS, the parties hereto wish to amicably settle all matters outstanding between them, it is agreed by and between them that an order for dismissal based on this Stipulation may be entered by the Court. NOW, THEREFORE, it is stipulated and agreed as follows: 1. That as and for a final and complete settlement of all claims that Plaintiff has or may have for attorney fees, costs and disbursements, Defendant, in addition to any sums previously paid, shall pay to Plaintiff the sum of $ ___________ which funds shall be drawn from the escrow account held by attorney _____________________ as part of assets awarded to the Defendant and _______________ in their dissolution of marriage proceeding. 2. That Plaintiff herein shall provide the Court, _______________ , the Secretary of State and the Defendant herein a Satisfaction of Lien and shall request that the Court dismiss this lawsuit with prejudice upon receipt of the agreed upon sum of $ __________ . 3. That upon receipt of the agreed upon sum of $ __________ , Plaintiff shall provide the Defendant with a tax certification letter which Defendant may present to his accountant for use - 1 - in filing Defendant's tax returns. 4. That the Plaintiff and the Defendant have each read this stipulation, understand the contents of same, and acknowledge receipt of a copy of it. DATED: _____________ , 20 ___ DATED: _____________ , 20 ___ _______________ , Defendant _______________ , Plaintiff DATED: _____________ , 20 ___ DATED: _____________ , 20 ___ ____________________________ ____________________________ Attorney for Petitioner Attorney for Respondent #1 Address #1 Address #2 Address #2 Address City, State Zip City, State Zip Telephone ( ____ ) __________ Telephone ( ____ ) __________ Attorney Reg. No.: ______ Attorney Reg. No.: ______ - 2 -