Stipulation to Agreed Facts
in Pending Action Form
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[Attorney name] [Address] [Telephone number] Attorney for [e.g., Plaintiff], [name] xxx Court, County of xxx [xxx District] xxxxxx ) No. xxx Plaintiff(s) ) vs. ) STIPULATION TO AGREED FACTS ) xxxxxx ) Defendant(s) ) __________________________) The undersigned agree (1) that this action may be tried by this Court [or by a commissioner or judge pro tem of this Court] without a jury and (2) that judgment may be rendered on pleadings filed in this action and on the following statement of agreed facts, which serve as a substitute for evidence of those facts: [State agreed facts]. Date: xxx ______________________ _____________________ [Typed name] [Typed name] Attorney for [name] _______________________ _____________________ [Typed name] [Typed name] Attorney for [name]
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[Last Revised 3/02]
