__[Attorney name]__
__[Address]__
__[Telephone number]__

Attorney for __[e.g., Plaintiff]__, [name]___


             _ _ _ _ _ Court, County of _ _ _ _ _ _
                   __[_ _ _ _ _ _ District]__


_ _ _ _ _ _ _ _ _ _ _ _ _  )   No. _ _ _ _ _ _
                               Plaintiff(s))
vs.                                                        )STIPULATION TO AGREED FACTS
                                                                          )
_ _ _ _ _ _ _ _ _ _ _ _ _  )
                               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: _ _ _ _ _ _


     [Signature of party]                                                  [Signature]
__________________________             __________________________
     __[Typed name]__                                              __[Typed name]__
                                                                                                                                            Attorney for __[name]__


     [Signature of party]                                                  [Signature]
_________________________               __________________________
     __[Typed name]__                                              __[Typed name]__
                                                                                                                                            Attorney for __[name]__
      

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Legal Forms : Set Two