Form 7a - Plaintiff'S Claim - Ontario Superior Court Of Justice Page 3
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4FORM 7A
PAGE 3
Claim No.
How much?
$
(Principal amount claimed)
ADDITIONAL PAGES ARE ATTACHED BECAUSE MORE ROOM WAS NEEDED.
The plaintiff also claims pre-judgment interest from
under:
(Date)
the Courts of Justice Act
(Check one
box only.)
an agreement at the rate of
% per year and post-judgment interest, and court costs.
, 20
Prepared on:
(Signature of plaintiff or representative)
Issued on:
, 20
(Signature of clerk)
CAUTION TO
IF YOU DO NOT FILE A DEFENCE (Form 9A) and an Affidavit of Service (Form 8A) with the court within twenty (20)
DEFENDANT:
calendar days after you have been served with this Plaintiff’s Claim, judgment may be obtained without notice and
enforced against you. Forms and self-help materials are available at the Small Claims Court and on the following
website:
CAUTION TO
Unless the court orders or the rules provide otherwise, THIS ACTION WILL BE AUTOMATICALLY DISMISSED if it
PARTIES:
has not been disposed of by order or otherwise two (2) years after it was commenced and a trial date or assessment
under subrule 11.03(2) has not been requested.
For information on accessibility of court services for
people with disability-related needs, contact:
Telephone: 416-326-2220 / 1-800-518-7901 TTY: 416-326-4012 / 1-877-425-0575
RSCC-7A-E (2016/11)
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