Fla. Sm. Cl. R. Form 7.345

(CAPTION)

STIPULATION FOR INSTALLMENT SETTLEMENT, ORDER

APPROVING STIPULATION, AND DISMISSAL

Plaintiff and defendant(s), by the signatures below, stipulate that

defendant(s) is/are indebted to plaintiff in the sum of $ ………., plus court

costs of $ ………., interest of $ ………., and attorneys’ fees of $ ………. for a

total of $ ………. , which defendant(s) agree(s) to pay in installments of $

………., the first of such payments to be due on.....(date)....., and continuing

each ………. until paid in full. If the total sum is paid timely and in full,

plaintiff agrees that no judgment shall be entered against the defendant(s), and

that additional costs, interest, and attorneys’ fees, if any, shall be waived. If the

defendant(s) shall default in payment hereunder, plaintiff shall be entitled to

judgment, execution, costs, interest at the rate provided by law, and attorneys’

fees, after written application to the court, without notice. Defendant(s)

acknowledge(s) delivery of a true copy hereof at …………………, ……………

County, Florida. ALL PAYMENTS ARE TO BE MADE PAYABLE TO: ……………,

and mailed or delivered to: ……………

TIME IS OF THE ESSENCE IN THIS AGREEMENT.

Plaintiff/Attorney for Plaintiff Defendant (signature)

Telephone:

BY: Address

Telephone:

Defendant/Attorney for Defendant(s) Defendant (signature)

Telephone: .......................................................

BY: .................................................. Address

Telephone: ......................................

ORDER DISMISSING CASE AND APPROVING STIPULATION

On the foregoing stipulation signed, delivered, and confirmed at

County, Florida, the case is dismissed. This court retains jurisdiction to

enforce the terms of this stipulation, including to enter a final judgment.

ORDERED at, Florida, on.....(date)......

County Court Judge

Conformed copies furnished by hand delivery to:

Plaintiff/Attorney for Plaintiff

Defendant(s)/Attorneys for Defendant(s)