SUPERIOR COURT OF THE STATE OF WASHINGTON

IN AND FOR BENTON AND FRANKLIN COUNTIES

)

)

Plaintiff(s) ) No.

)

)

vs. ) STATEMENT OF ARBITRABILITY

)

Defendant (s) )

______)

Case Category:

¨ Commercial ¨ Personal Injury

¨ Construction ¨ Real Estate

¨ Other______

¨ This case is subject to arbitration because the sole relief sought is a monetary judgment and involves no claim in excess of fifty thousand dollars ($50,000.00) exclusive of attorneys fees, interest and costs.

Date case was filed with the Superior Court Clerk: ______/______/______

Date the last party was served: ______/______/______

(Strike list will be prepared and sent 90 days from the above date)

¨ The undersigned contends that its claim exceeds fifty thousand dollars ($50,000.00) but hereby waives any claim in excess of fifty thousand dollars ($50,000.00) for the purposes of arbitration.

Plaintiff’s Attorney ______Firm ______

Address ______Zip ______Phone ______WSBA# _____

Defendant’s Attorney ______Firm ______

Address ______Zip ______Phone ______WSBA# _____

(Please note additional attorneys on the other side)

Filed by:______

Any party disagreeing with the statement of arbitrability shall serve and file a response on the form prescribed by the Court. A duplicate copy of the response shall be delivered to the court administrator. In the absence of such a response, the statement of arbitrability shall be deemed correct. Any response opposing the statement of arbitrability shall be filed within 10 court days after receipt of the statement of arbitrability, noting the matter for hearing on the issue of arbitrability within 10 court days of filing the response.

File with Clerk

Copy to Arbitration Office

SUPERIOR COURT OF THE STATE OF WASHINGTON

IN AND FOR BENTON AND FRANKLIN COUNTIES

) No.

Plaintiff(s) )

)

vs. ) RESPONSE TO STATEMENT

) OF ARBITRABILITY/

) NOTE FOR MOTION DOCKET

Defendant (s) )

______)

This case was noted for Arbitration on ____/____/____ by ______.

This case is not subject to mandatory arbitration because:

¨ Plaintiff’s claim exceeds thirty-five thousand dollars ($35,000.00).

¨ Plaintiff seeks relief other than a money judgment.

¨ Defendant’s counter of cross claim exceeds thirty-five dollars ($35,000.00).

¨ Defendant’s counter or cross claim seeks relief other than a money judgment.

¨ Other ______

Pursuant to MAR 2.1(b), notice is hereby given that this case is set on the Civil Motion

Calendar for argument in ______County on ____/____/____ at

______am/pm.

Dated ______Signed ______WSBA# ______

File with Clerk

Copy to Arbitration Office