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
Tit. 25, ch. 21, Appendix of Forms, form 5, MCA