Form 4c - Courts Of Justice Act Backsheet

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FORM 4C
Courts of Justice Act
BACKSHEET
(Short title of proceeding)
(Court file no.)
(Name of Court)
PROCEEDING COMMENCED AT (place)
(Title of document)
(if affidavit, indicate name of deponent and date sworn)
(Name, address, telephone number, fax number (if any)
and e-mail address (if any) of lawyer or party)
(Law society membership number of lawyer)
(Fax number, if known, and e-mail address, if known, of
person on whom document is to be served)
Print Form
RCP-4C-E (2016/05)

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