In the Supreme Court of Tasmania

Form 2

Rule 104

IN THE SUPREME COURT OF TASMANIA Hobart*/Launceston*/Burnie* Registry *delete whichever is inapplicable. No of 20

…………………………………………………………. Plaintiff

BETWEEN:

…………………………………………………………. Defendant

To [name and address of each defendant]

ENDORSEMENT OF CLAIM

The plaintiff('s)(s')claim against you is for [set out endorsement of claim or, if the action is for a debt or liquidated demand, the amount claimed and brief particulars of that amount]

*and costs to be taxed.

*IF you pay the amount claimed plus the sum of [insert amount] for costs to the plaintiff or to the practitioner for the plaintiff within [insert number of days limited for appearance] days, this action will be at an end.

[Signature of plaintiff's practitioner or of plaintiff in person]

The plaintiff's address is [state residential address or, if a corporation, its registered office]

The plaintiff's address for service of documents is [state address for service]

Take notice that –

(1) If you wish to dispute the plaintiff's claim or any part of it or for any reason wish to take part in this action, you or your practitioner must, within [insert number of days limited for appearance] days following the service of this writ on you, lodge a notice of appearance at a Registry of the Supreme Court and serve a sealed copy of the notice on the plaintiff at the address for service of documents.

(2) Forms of notice of appearance may be obtained from any Registry of the Court. These are located at Salamanca Place, Hobart, Cameron Street, Launceston and Alexander Street, Burnie.

(3) If you fail to lodge and serve a notice of appearance within the time stated, the plaintiff may obtain a judgment without further notice to you.

Filed [date]

Registrar [or District Registrar]

Filed by: ………………………………………………………………………………………………….. Address: ………………………………………………………… Tel: ………………...... …………………………………………………………………… Fax:…………………………………. …………………………………………………………………… Email:…..…………………………... Ref:…………………………………