Stipulation Of Settlement {UCS 137-11}

(Office Use Only) UCS 137-11 (11/01) Case Number: ________________________ ........................................................................ In the Matter of Fee Dispute Arbitration between , Client and STIPULATION OF SETTLEMENT , Attorney ........................................................................ A request for fee arbitration having been made and the parties having come to an agreement as to the reasonable amount of the fee due in this matter, it is hereby stipulated and agreed: 1. 2. The AMOUNT IN DISPUTE is: The TOTAL of the AMOUNT IN DISPUTE to which the attorney is entitled is (including all costs and disbursements and amounts previously paid by the client): The AMOUNT of this total PREVIOUSLY PAID by the client is: (a) The BALANCE DUE by the client to the attorney is: -OR(b) The AMOUNT TO BE REFUNDED by the attorney is: $ ........................................ $ ........................................ 3. $ ........................................ 4. $ ........................................ $ ........................................ It is further agreed that the payment of the amount shall be made within _______ days of the date of this stipulation. ______________________________ ATTORNEY ______________________________ CLIENT (Please print names below signatures) Dated: _______________ [Give copy to each party] American LegalNet, Inc. www.FormsWorkflow.com