Form
115 (version 2)
UCPR
58.2
OPT OUT NOTICE
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COURT DETAILS
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Court
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Supreme Court of New South Wales
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#Division
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#List
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Registry
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Sydney Registry
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Case number
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TITLE OF PROCEEDINGS
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[First] plaintiff
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[name]
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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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Filed for
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[name], person opting out of
representative proceedings
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#Legal representative
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[solicitor] [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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OPT OUT NOTICE
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Name of person opting out
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Address of person opting out
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I, a group member in these
representative proceedings, opt out of the proceedings.
I understand that
in opting out:
- I forego the right to share in any relief obtained by the representative party in the representative proceedings;
- I am not entitled to receive any further notification about the conduct or disposition of the proceedings; and
- To the extent that I have a claim against the defendant(s), any limitation period suspended by the commencement of the representative proceedings has recommenced to run.
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SIGNATURE
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#Signature
of legal representative
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#Signature
of or on behalf of person opting out if not legally represented
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Capacity
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[eg solicitor, authorised officer of
person opting out, person opting out]
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Date of
signature
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NOTICE TO PERSON OPTING OUT
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You must, within
the time specified in the notice to group
members:
- file this form in the registry of the court at the address below, or in the manner provided in the notice to group members; and
- serve a copy of this form on the representative party at the address, or in the manner provided, in the notice to group members.REGISTRY ADDRESSStreet addressSupreme Court of NSWLaw Courts Building, Queen's Square184 Phillip StreetSydney NSW 2000Postal addressSupreme Court of NSWGPO Box 3Sydney NSW 2001DXSupreme Court of NSWDX 829 SydneyTelephone1300 679 272
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