Notice of payment34 http://www.ucprforms.lawlink.nsw.gov.au/ucprforms/index.html

Form 34 (version 2)
UCPR 6.17

NOTICE OF PAYMENT

COURT DETAILS
Court
#Division
#List
Registry
Case number
TITLE OF PROCEEDINGS
[First] plaintiff	[name]
#Second plaintiff #Number of plaintiffs (if more than two)
[First] defendant	[name]
#Second defendant #Number of defendants (if more than two)
FILING DETAILS
Filed for	[name] [role of party eg defendant]
Address	#[unit/level number]		#[building name]
	[street number]	[street name]		[street type]
	[suburb/city]	[state/territory]		[postcode]
	#[country (if not Australia)]
Telephone
Contact email	[email address]
NOTICE OF PAYMENT

1. I am the defendant.
2. On [date], I paid to the plaintiff the sum of $[amount] which was the total amount claimed in the statement of claim.

SIGNATURE
#Signature of legal representative
#Signature of or on behalf of party if not legally represented
Capacity	[eg solicitor, authorised officer, role of party]
Date of signature