Judgment - North Dakota District Court Page 4

14.

Waiver of Counsel. The parties acknowledged that each has the right to be represented by a lawyer of his/her

choice. The parties expressly waived that right and freely and voluntarily entered into the settlement

agreement which became a basis for the order for judgment and judgment.

15.

In accordance with N.D.C.C. 14-05-02.1

Plaintiff’s social security number is: _____________________________

Defendant’s social security number is: ___________________________

WITNESS the hand and seal of this Court in the City of ______________________, State of North Dakota, on

_______________________, ________, Clerk of District Court, County of _____________________.

_________________________________________

Clerk of the District Court

Civil No. ______________

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