No.: Cacr / Cacv of 20

SUPREME COURT OF WESTERN AUSTRALIA NO.: [CACR / CACV] OF 20 COURT OF APPEAL NOTICE OF RESPONDENT’S INTENTION Parties to the [Appellant’s Name] Appellant Appeal [First Respondent’s Name] First Respondent [Second Respondent’s Name] Second Respondent

Notice  The respondent intends to take part in this appeal. [Tick one box]  The respondent does not intend to take part in this appeal and will accept any order made by the Court of Appeal in the appeal other than as to costs.

Legal Is the respondent legally represented in this appeal? YES / NO representation Is the respondent applying for legal aid? YES / NO. Respondent’s address for service Firm name [Firm name/Respondent’s name] Street Address [Address for service] Telephone no (08) Fax No 08 Email address Reference Signature of Date: Respondent or ………………………………………… Lawyer Respondent / Respondent’s lawyer

013a593c8fd7cb7338690724559207bf.doc 6/04/2018