Form 3 - Counterclaim Form
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1
2Form 3
I
N
C
J
— S
C
N THE
UNAVUT
OURT OF
USTICE
MALL
LAIMS
COUNTERCLAIM
File No.__________________
FROM (DEFENDANT) (Please print)
Name
Home phone No.
Address
Community
Work phone No.
Postal Code
Email address
Fax No.
TO (CLAIMANT) (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 CLAIMANT*
Attention: Please read the Notice on the back.
* ᐃᖅᑲᑐᕐᑕᐅᑎᑦᓯᔪᒧᑦ: ᐅᖃᓕᒫᕐᓗᒋᑦ ᑐᓂᐊᓂ (ᐃᓄᒃᑎᑑᕐᑐᑦ).
* À L’ATTENTION DU DEMANDEUR : Veuillez lire l’avis à l’endos.
AND
Y
OU HAVE BROUGHT A SMALL CLAIM AGAINST THE DEFENDANT
T
$
.
HE DEFENDANT SEEKS FROM YOU
Explain why you are making the counterclaim. (Use additional sheet of paper if necessary)
Yes
No
Is your counterclaim 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 can’t try to recover it in another small claim or other legal proceeding.
Yes
No
Unknown
The Claimant understands the language of this counterclaim.***
*** If the claimant does not understand the language of this counterclaim, 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
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