Form
65 (version 3)
UCPR
39.2 and 39.3
NOTICE
OF MOTION
WRIT
FOR THE LEVY OF PROPERTY
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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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HEARING DETAILS |
This motion is to
be dealt with in the absence of the parties.
[on separate page]
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ORDERS SOUGHT |
The issue of a
writ for the levy of property against the judgment debtor.
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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].
- Interest payable under section 101 of the Civil Procedure Act is $[amount].
- The amounts claimed for costs in respect of this writ are:
TOTAL $
- #The judgment is not stayed by an order of the court, by an instalment order or by a suspension under section 377(1) or 386(1) of the Legal Profession Act 2004 that has not been ended.
#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.
[Include the following additional information, if known, which will assist the Sheriff when executing the writ.]
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ADDITIONAL INFORMATION TO ASSIST SHERIFF’S OFFICE |
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Short description of claim
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Best time of day to contact the
judgment debtor
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Judgment debtor’s telephone number
(if known)
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Provide specific details of any
property owned by the judgment debtor that may be seized
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Are
there any animals or anything else at the premises that
might pose a threat to the health and safety of Sheriff’s
officers?
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