Sample 5: Magistrates court claim - Legal Aid Queensland

Sample 5: Magistrates court claimMAGISTRATES COURT OF QUEENSLANDREGISTRY: ToowoombaNUMBER: M123456 of 2013Plaintiff:JANE WRIGHTANDDefendant:GEORGE GETZCLAIMThe Plaintiff claims: Two thousand, seven hundred dollars ($2700) plus costs.The plaintiff makes this claim in reliance on the facts alleged in the attachedStatement of Claim.ISSUED WITH THE AUTHORITY OF THE MAGISTRATES COURT OFQUEENSLAND:And filed in the Toowoomba Registry on 21/11/2013Registrar:To the defendant/s: TAKE NOTICE that you are being sued by the plaintiff in the Court. If youintend to dispute this claim or wish to raise any counterclaim against theplaintiff, you must within 28 days of the service upon you of this claim file aNotice of Intention to Defend in this registry. If you do not comply with thisrequirement judgment may be given against you for the relief claimed andcosts without further notice to you. The Notice should be in Form 6 to theUniform Civil Procedure Rules. You must serve a sealed copy of it at theplaintiff’s address for service shown in this claim as soon as possible.SampleAddress of Registry: Hume Street, Toowoomba, Qld, 4350If you assert that this Court does not have jurisdiction in this matter orassert any irregularity you must file a Conditional Notice of Intention toDefend in Form 7 under Rule 144, and apply for an order under Rule 16within 14 days of filing that notice.CLAIMJane WrightFiled on behalf of the plaintiff200 Tenth AvenueForm 2 – Rule 22 Redwood Qld 4350Telphone: 07 3238 300Uniform Civil Procedure Rules 1999Facsimile:

Magistrates court claim cont’dIf you object that these proceedings have not been commenced in thecorrect district of the Court, that objection must be included in your Noticeof Intention to Defend.PARTICULARS OF THE PLAINTIFF:Name: Jane WrightPlaintiff’s residential or business address: 200 Tenth AvenueRedwood Qld 4350Solicitor’s name:and firm:Solicitor’s business address:Adress for service:DX (if any)Telephone: 07 3238 300Fax:E-mail address (if any):Plaintiff’s telephone or contact number:Plaintiff’s fax number (if any):Plaintiff’s e-mail address (if any):Signed:Description: PlaintiffDated: 21/11/2013SampleThis claim is to be served on: George Getzof: 9 Norman Road, Redwood Qld 4350