Form
53 (version 3)
UCPR
38.2
NOTICE
OF MOTION
EXAMINATION
ORDER
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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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JUDGMENT DETAILS |
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Date of judgment to be enforced
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FILING DETAILS |
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Person seeking orders
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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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#[name] [if judgment debtor is a company, capacity of person sought to be examined]
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HEARING DETAILS |
This motion is to
be dealt with in the absence of the parties.
[on separate page]
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ORDERS SOUGHT |
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SIGNATURE |
#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 judgment creditor.
#I am [give details of the capacity of the person making the affidavit and the facts that qualify the person to make the affidavit].
- #No payments have been made to reduce the judgment debt.
- The amounts claimed for costs for the issue of this order are:
TOTAL $
- #The judgment debtor has not completed and returned the examination notice.
#[Applicable only if the judgment was entered in the Supreme Court.]Leave
to issue an examination order should be granted for the following
reasons:
- #The judgment debtor has not, within the previous 3 months, provided any or sufficient answers, or produced any or sufficient documents in response to any previous examination notice.
- #The judgment debtor lives or works at a location within 30 kilometres of the registry at which judgment was entered.
#The judgment debtor lives
or works at a location more than 30 kilometres from the registry at
which judgment was entered. I seek that the examination be conducted
at [location].
- #The following information is relevant in determining the appropriate venue for the examination:
- #The judgment debt is not stayed by an order of the court or by an instalment order.
#An instalment order was
made on [date] but that instalment order has ceased to have effect
for the following reason:
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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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