IN the SUPREME Courtno. of 200

FORM 5A

Rule 5.02(1)

WRIT

IN THE SUPREME COURTNo. of 200

OF NORTHERN TERRITORY OF

AUSTRALIA AT DARWIN

BETWEEN

A.B.

Plaintiff

and

C.D.

Defendant

TO THE DEFENDANT

This proceeding has been brought against you by the plaintiff for the claim set out in this writ.

IF YOU INTEND TO DEFEND the proceeding, or if you have a claim against the plaintiff which you wish to have taken into account at the trial, YOU MUST GIVE NOTICE of your intention by filing an appearance within the proper time for appearance stated below.

YOU OR YOUR SOLICITOR may file the appearance. An appearance is filed by–

(a)filing a "Notice of Appearance" in the Registry of the Supreme Court in the Supreme Court Building, State Square, Darwin, or, where the writ has been filed in the Alice Springs Registry, in the Alice Springs Registry of the Supreme Court, Law Courts Building, Parsons Street, Alice Springs; and

(b)on the day you file the Notice or on the next working day, serving, at the plaintiff's address for service which is set out at the end of this writ, a copy, sealed by the Court.

IF YOU DO NOT file an appearance within the proper time, the plaintiff may OBTAIN JUDGMENT AGAINST YOU on the claim without giving you any further notice.

*THE PROPER TIME TO FILE AN APPEARANCE is–

(a)Within 7 days after service–

(i)where you have been served with the writ filed in the Darwin Registry and that service was within the Northern Territory and within 200 kilometres of Darwin; or

(ii)where you have been served with the writ filed in the Alice Springs Registry and that service was within the Northern Territory and within 200 kilometres of Alice Springs;

(b)Within 14 days after service, where you are served within the Northern Territory with a writ filed in either Darwin or Alice Springs Registry but you are served at a place not within 200kilometres of the Registry in which it was filed;

(c)Within 21 days after service where you are served with the writ out of the Northern Territory but within the Commonwealth;

(d)Within 28 days after service, where you are served with the writ in New Zealand or in Papua New Guinea;

(e)Within 42 days after service, where you are served with the writ in any other place.

IF the plaintiff claims a debt only and you pay that debt, namely, $ and $ for legal costs, to the plaintiff or his solicitor within the proper time for appearance, this proceeding will come to an end. Notwithstanding the payment, you may have the costs taxed by the Court.

FILED (e.g. 15 June 19 ).

REGISTRAR

THIS WRIT is to be served within one year from the date it is filed or within such further period as the Court orders.

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*Strike out this paragraph when order made fixing time for appearance and substitute: "The proper time for appearance is within ___ days after service on you of this writ".

Part 2

[Plaintiff's indorsement of a statement of claim or of a statement sufficient to give with reasonable particularity notice of the nature of the claim and its cause and of the relief or remedy sought in the proceeding.]

Part 3*

1.Place of trial – DARWIN/ALICE SPRINGS

2.This writ was filed–

(a)by the plaintiff in person;

(b)for the plaintiff by [name or firm of solicitor and, where the solicitor is a firm, the name of the member of the firm having responsibility for the conduct of the matter], solicitor; or [business address of solicitor];

(c)for the plaintiff by [name or firm of solicitor], solicitor, of [business address of solicitor] or agent for [name of firm or principal solicitor and, where the principal solicitor is a firm, indicate the name of the member of the firm having responsibility for the conduct of the matter], solicitor, of [business address of principal.]

3.The address of the plaintiff is–

4.The address for service of the plaintiff is–

[Where the plaintiff sues by a solicitor, the address for service is the business address of the solicitor or, where the solicitor acts by an agent, the business address of the agent. Where the plaintiff sues without a solicitor, the address for service is stated in 3, but, where that address is not within 15kilometres of the Registry in which the Writ is filed the plaintiff must state an address for service which is within 15 kilometres of that Registry.]

5.The address of the defendant is–

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*Complete or strike out as appropriate.

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