Form 4 - Notice Of Third Party Claim
ADVERTISEMENT
1
2Form 4
I
N
C
J
— S
C
N THE
UNAVUT
OURT OF
USTICE
MALL
LAIMS
NOTICE OF THIRD PARTY CLAIM
File No.____________
FROM (DEFENDANT) (Please print)
Name
Home phone No.
Address
Community
Work phone No.
Postal Code
Email address
Fax No.
Address for Service
TO (THIRD PARTY) (Please print)
Name
Home phone No.
Address
Community
Work phone No.
Postal Code
Email address
Fax No.
AND TO (ADDITIONAL DEFENDANT) (Please print)
Name
Home phone No.
Address
Community
Work phone No.
Postal Code
Email address
Fax No.
TO THE THIRD PARTY*
Attention: Please read the Notice on the back.
* ᐱᖓᔪᒋᔭᐅᔪᓄᑦ: ᐊᑏ ᐅᖃᓕᒫᒃᑭᒃ ᑐᓄᐊᓃᑦᑐᑦ ᐆᒪ (ᐃᓄᒃᑎᑑᕐᑐᑦ).
* À L’ATTENTION DU TIERS MIS EN CAUSE : Veuillez lire l’avis à l’endos.
AND
A
SMALL CLAIM HAS BEEN BROUGHT AGAINST THE DEFENDANT
T
$
.
HE DEFENDANT SEEKS FROM YOU
Explain why the third party should pay all or part of the small claim. (Use additional sheet of paper if necessary)
Yes
No
Is your third party claim for more than $20,000?
Yes
No
If yes, are you abandoning the amount over $20,000?**
** If you abandon part of your claim, you agree not to try to recover it in another small claim or other legal
proceedings.
The third party understands the language of this third party claim.*** Yes
No
Unknown
*** If the third party does not understand the language of this claim, this may delay the proceedings.
___________________________________________________
_________________
Signature of Defendant
Date
_________________________
_______
______________
__
ISSUED at
, in Nunavut on the
day of
, 20
.
(Community)
_____________________________
Clerk of the Nunavut Court of Justice
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Legal