Request Re: Stipulation and Order After Mediation

REQUEST RE: STIPULATION AND ORDER AFTER MEDIATION
IN THE JUSTICE COURT OF SPARKS TOWNSHIP

COUNTY OF WASHOE, STATE OF NEVADA
Case No.:
Dept. No.:
Plaintiff(s),
Additional Plaintiff(s)
vs.
Defendant(s).
Additional Defendant(s).
I am the plaintiff in the above-entitled case. According to the terms of the Stipulation and Order After Mediation entered in this case, I am requesting the Court:
Dismiss this case because the defendant(s) has/have complied with our Stipulation and Order.

Keep this case open until   Date , because defendant(s) is/are complying with the Stipulation and Order, but more time is needed to complete all terms.

Enter judgment against the defendant(s) because they have not complied with the Stipulation and Order. Please note: when choosing this option, Exhibit "1" must be completed and attached.

Other
If you selected "other", please explain:
Check box if additional page is attached.
I declare under penalty of perjury under the law of the State of Nevada that the foregoing is true and correct.
Dated:   Date
Signature:   Signature
Print Name:   Print Name
Email Address:   Email Address
Plaintiff, in proper person
Plaintiff, in proper person.

Exhibit “1”
Complete this form only if
Request for Entry of Judgment After Mediation
*To be completed and attached to plaintiff's REQUEST RE: STIPULATION AND ORDER AFTER MEDIATION if requesting a judgment be entered against defendant(s) for failing to comply with their Stipulation and Order After Mediation.

Enter the following information from the Stipulation and Order:
Total amount defendant(s) owe(s):
Defendant(s) agreed to make payments in the amount of:
WeeklyBi-WeeklyMonthly payments.
Enter the following details about defendant(s)' last three (3) payments:
Date of Payment:   Date
Amount of Payment: $   Amount of Payment

Date of Payment:   Date
Amount of Payment: $   Amount of Payment

Date of Payment:   Date
Amount of Payment: $   Amount of Payment
Enter the following details about defendant(s) failure to comply with agreement:
Total payments made by defendant(s) = $
I am requesting judgment be entered in the amount of: $
(Total minus any payments made)
Enter any other information you believe is important for the judge to review here:
Dated:   Date
Signature:   Signature
Print Name:   Print Name
Plaintiff, in proper person.
Don't Delete*
Should be Empty:

REQUEST RE: STIPULATION AND ORDER AFTER MEDIATION