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Petition And Order For Relief From Obligation To Pay All Or Part Of Mediators Fee In Family Financial Case CV-828 - North Carolina
| Petition And Order For Relief From Obligation To Pay All Or Part Of Mediators Fee In Family Financial Case Form. This is a North Carolina form and can be used in Civil Statewide . |
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File No. STATE OF NORTH CAROLINA County In The General Court Of Justice District Court Division Name Of Plaintiff PETITION AND ORDER FOR RELIEF FROM OBLIGATION TO PAY VERSUS Name Of Defendant ALL OR PART OF MEDIATORS FEE IN FAMILY FINANCIAL CASE G.S. 7A-38.4A; Rules Implementing Settlement Procedures In Equitable Distribution And Other Family Financial Cases PETITION The undersigned party petitions the Court for relief from the obligation to pay all or a full share of the mediators fee incurred in connection with the mediated settlement conference in the above case. Unpaid balance of my obligation $ Total value of my assets $ Total amount of my debts and liabilities $ I affirm to the Court that I cannot pay all or part of this obligation. Name And Address Of Party (Type Or Print) Date Signature Of Party Telephone No. Plaintiff Defendant ORDER The above petition to be relieved of the obligation to pay all or a part of the mediators fee is: ALLOWED, and the moving party is relieved of the obligation to pay any of the mediators fee. ALLOWED, and the moving party is ordered to pay this portion of the mediators fee: $ . DENIED, and the moving party is ordered to pay the mediators fee in full within thirty (30) days of the date of order. Date Signature Name (Type Or Print) District Court Judge District Court Judges Designee NOTE:The party requesting relief should file this Petition with the mediator at the conclusion of the settlement conference, and the mediator should attach the petition to the Report Of Mediator. The judge may require more detailed financial information. AOC-CV-828, Rev. 10/01 Original-Court File Copy-Mediator Copy-Petitioning Party 2001 Administrative Office of the Courts
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