Form 5
IN THE SUPREME COURT OF THE STATE OF MONTANA
Supreme Court Cause No.__________
_________________________________,
Plaintiff/Petitioner and
☐ Appellant or ☐ Appellee,
v.SELECTION OF MEDIATOR
_________________________________,
Defendant/Respondent and
☐ Appellant or ☐ Appellee.
COME NOW the parties and advise that they have stipulated to and selected __________________________ as mediator for purposes of complying with the requirements of M. R. App. P. 7(4)(c).
Dated this ___ day of __________, 20___.
__________________________________
Attorney for Appellant
__________________________________
Attorney for Appellee