Free MEDIATOR'S REPORT REGARDING COMPLETION OF MEDIATION - Washington

ADR FORM #7 (4/00)

UNITED STATES BANKRUPTCY COURT EASTERN DISTRICT OF WASHINGTON ) ) ) Debtor(s) ) ______________________________) ) (If an Adversary Proceeding) ) Plaintiff(s) ) ) ) Defendant(s) ) In re: To: ______________________________ Bankruptcy Judge Attorney for:____________________ _______________________________ Attorney for: ____________________ _______________________________ The undersigned mediator hereby reports that pursuant to an order of appointment by this Court to serve as mediator in the above entitled matter pursuant to the Voluntary Mediation Program, that a mediation did occur and that the outcome of the mediation was as follows: / / / / / / / / / / The parties reached a resolution of their differences and; The Motion raising the issue will be withdrawn; The Adversary Proceeding will be dismissed; A stipulated order will be presented to the court; The parties were unable to reach a voluntary resolution and the matters is returned to the court for action as it deems appropriate. ______________________________ Mediator

Bk. No.

Adv. No. MEDIATOR'S REPORT REGARDING COMPLETION OF MEDIATION

DATED:__________________

COMPLETION OF MEDIATION REPORT

Name:________________________ Address:______________________