Form 12 Notice Of Withdrawal
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1
2ONTARIO
Court File Number
_____________________________________________________
(Name of court)
Form 12: Notice of
at
___________________________________________________
Withdrawal
Court office address
Applicant(s)
Full legal name & address for service — street & number, municipality, postal code,
Lawyer's name & address — street & number, municipality, postal code, telephone
& fax numbers and e-mail address (if any).
telephone & fax numbers and e-mail address (if any).
Respondent(s)
Lawyer's name & address — street & number, municipality, postal code, telephone
Full legal name & address for service — street & number, municipality, postal code,
telephone & fax numbers and e-mail address (if any).
& fax numbers and e-mail address (if any).
TO ALL PARTIES:
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
My name is
(full legal name)
I withdraw this � application dated
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(date)
� answer dated
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(date)
� notice of default hearing dated
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(date)
� notice of motion dated
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(date)
�
(Other; specify.)
against
(names of parties against whom there is to be a withdrawal)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
� completely.
� regarding
(State limited nature of withdrawal.)
Signature of party making withdrawal or of party's lawyer
Date of signature
NOTE TO OTHER PARTIES: If a case, an enforcement, a motion, etc., has been wholly or partly withdrawn against you
by this notice, you are entitled to your costs from the party making the withdrawal unless the court orders otherwise or
unless the parties agree otherwise.
FLR 12 (Septmeber 1, 2005)
(Français au verso)
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