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A sample stipulation of dismissal which counsel may use to discontinue a case once the parties have settled it, or for any reason a party decides to withdraw a claim. This Standard Document has integrated drafting notes with important explanations and drafting tips.Unless the notice or stipulation states otherwise, the dismissal is without prejudice. The court ruled that a stipulated dismissal constitutes a judgment on which a party can move for an award of attorneys' fees under Rule 54. The stipulation is approved. Based on the parties' stipulation, IT IS SO ORDERED. The Clerk of the Court is directed to dismiss this matter with prejudice. Signature: Name: Address: AGREED: Signature: Name: Address: Trial Court of Massachussetts. Dismissal to ask the Court for an Order dismissing the divorce action, without prejudice. • Complete this form in black ink only!