In the [  ] District   [  ] Justice Court of Utah 

__________ Judicial District ________________ County 

Court Address ______________________________________________________ 

_____________________________________
Plaintiff 

Settlement Agreement 

_______________________________ 
Case Number 

_______________________________ 
Judge 

 

_____________________________________
Defendant 

_____________________________________
Defendant 

The parties have agreed to settle this case as follows: 

(1) 

The parties believe that they will comply with this Settlement Agreement by 

______________________ (date), and the court may continue the trial until then. 

(2) 

Instead of going to trial on their claims and defenses, the parties agree that 

_____________________________ (name) will pay $_____________ (full amount) 

to _____________________________ (name) as follows: 

Amount: 

Due on: 

Amount: 

Due on: 

Amount: 

Due on: 

 

 

 

 

 

$ 

$ 

$ 

$ 

$ 

 

 

 

 

 

$ 

$ 

$ 

$ 

$ 

 

 

 

 

 

(3) 

If a payment is not received within _____ days after the due date, the balance of 

the full amount is due. If the balance is not paid within _____ days after it is due, 

___________________________ (name) may ask the court to (A) enter judgment 

for the balance due or (B) schedule a trial on the affidavit and/or counter affidavit. 

Settlement Agreement 

Approved Board of District Court Judges April 17, 2009 
Revised April 29, 2015 

Page 1 of 2 

v. 

And 

$ 

$ 

$ 

$ 

$ 

 

(4)  When the full amount is paid, ______________________________(name) will ask 

the court to dismiss this case. 

(5)  Other details. (Write “none” if there are no other details.) 

6) 

Did a mediator help you reach this agreement? 

[  ] Yes   [  ] No   If “yes,” mediator’s name: ______________________________ 

(7) 

I agree to the terms stated. 

I have not included any non-public information in this document. 

I declare under penalty of Utah Code Section 78B-5-705 that everything stated in this document is true 
and correct. 

Date
2nd Defendant 
sign here ►
Typed or 
printed name

Date

Mediator sign 
here ►
Typed or 
printed name

 

Judge sign here ►

Typed or printed name

(8) 

The trial is continued. The clerk will review the status of the case on the date 
stated in Paragraph (1). 

Settlement Agreement 

Approved Board of District Court Judges April 17, 2009 
Revised April 29, 2015 

Page 2 of 2 

            (

 

 

Date 

Defendant 
sign here ► 
Typed or 
printed name 

Date 

Plaintiff sign 
here ► 
Typed or 
printed name 

Date