Default Dispute
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1
2ONTARIO
Court File Number
(Name of Court)
Form 30B:
at
Default Dispute
Court office address
Recipient(s)
Full legal name & address for service — street & number, municipality,
Lawyer’s name & address — street & number, municipality, postal
postal code, telephone & fax numbers and e-mail address (if any).
code, telephone & fax numbers and e-mail address (if any).
Payor
Full legal name & address for service — street & number, municipality,
Lawyer’s name & address — street & number, municipality, postal
postal code, telephone & fax numbers and e-mail address (if any).
code, telephone & fax numbers and e-mail address (if any).
My name is
(full legal name)
I live in
(municipality & province)
swear/affirm
and I
that the following is true:
1.
I am the person named as payor in this case.
Check off and fill in appropriate paragraphs below. Paragraphs that do not apply to you may be struck out and initialled.
2. I have not missed any support payments as claimed in the statement of money owed because:
(Set out your reasons for saying that there are no missed payments.)
3. I do not owe the amount claimed in the statement of money owed. I owe instead the sum of $
.
The reason for the difference in the amounts is:
(Set out your explanation, if any and if known, for the difference. If you have paid all the money that you claim to owe here, ignore
and strike out paragraphs 4 and 5 below; if not, go to paragraph 5 to give your reasons for non-payment.)
Put a line through any blank space left on this page.
FLR-30B-E (2005/09)
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