Form
39 (version 3)
UCPR
16.3 and 16.7
NOTICE
OF MOTION
DEFAULT
JUDGMENT FOR UNLIQUIDATED DAMAGES
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COURT DETAILS |
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Court
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#Division
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#List
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Registry
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Case number
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TITLE OF PROCEEDINGS |
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#Second plaintiff #Number of
plaintiffs (if more than two)
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[First] defendant
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[name]
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#Second defendant #Number of
defendants (if more than two)
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FILING DETAILS |
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Person seeking orders
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[name] [role of party eg plaintiff]
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#Filed in relation to
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#Legal representative
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[solicitor on record] [firm]
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#Legal representative reference
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[reference number]
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Contact name and telephone
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[name] [telephone]
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Contact email
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[email address]
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PERSON AFFECTED BY ORDERS SOUGHT |
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[repeat for each additional defendant/cross-defendant default judgment sought against]
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HEARING DETAILS |
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This
motion is to be dealt with in the absence of the parties.
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ORDERS SOUGHT
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SIGNATURE
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#Signature of legal representative
#Signature of or on behalf of
party if not legally represented
[on separate page]
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AFFIDAVIT |
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Name
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Address
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Occupation
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Date
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- #I am the plaintiff.
#I am [give details of the capacity of the person making the affidavit and the facts that qualify the person to make the affidavit].
[repeat for each additional defendant/cross-defendant default judgment sought against]
- The matter has not been settled with the defendant.
- The amounts claimed for costs are:
Service
fees $
Solicitors
fees $
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#SWORN #AFFIRMED at
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Signature of deponent
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Name of witness
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Address of witness
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Capacity of witness
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[#Justice of the peace #Solicitor #Barrister #Commissioner for affidavits #Notary public]
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And
as a witness, I certify the following matters concerning the
person who made this affidavit (the deponent):
1 #I
saw the face of the deponent. [OR,
delete whichever option is inapplicable]
#I
did not see the face of the deponent because the deponent was
wearing a face covering, but I am satisfied that the deponent had
a special justification for not removing the covering.*
2 #I have known the deponent
for at least 12 months. [OR,
delete whichever option is inapplicable]
#I
have confirmed the deponent’s identity using the following
identification document:
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Identification document relied
on (may be original or certified copy)
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Signature of witness
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Note:
The deponent and witness must sign each page of the affidavit. See
UCPR 35.7B.
____________________________
[*
The only "special justification" for not removing a face
covering is a legitimate medical reason (at April 2012).]
[†"Identification
documents" include current driver licence, proof of age card,
Medicare card, credit card, Centrelink pension card, Veterans Affairs
entitlement card, student identity card, citizenship certificate,
birth certificate, passport or see Oaths Regulation 2011.]
Note:
The deponent and witness must sign each page of the affidavit. See
UCPR 35.7B.
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