WESTERN AUSTRALIA COURT Civil Judgments Enforcement Act 2004 Part 3 Division 1 LOCATION:

FORM 6 – APPLICATION OR REQUEST TO A COURT Court ref number:

Name: Judgment creditor or applicant

Name: Judgment debtor or obligated

person

To: The Registrar The judgment creditor makes application for the following: Tick [] appropriate box and add information in the numbered boxes as required.

Means Inquiry (complete following sections 1, 2, 8 and 9 below) Property (Seizure and Sale) Order (complete following sections 1, 4, 8 and 9) Property (Seizure and Delivery) Order (complete following sections 1 and 5) Debt Appropriation Order (complete following sections 1, 6, 8 and 9) Type of application or request Default Inquiry (complete following sections 1, 7, 8 and 9) being made Order after a Means Inquiry (complete following sections 1, 3, 8 and 9) Warrant for Arrest (complete following sections 1, 8 and 9) Warrant for Arrest and Imprisonment on Default on Suspended Imprisonment Order (complete following sections 1, 8 and 9) *Re-list/*Re-issue *Means /*Default Inquiry Summons Re-issue Enforcement Order

Judgment debtor Officer of a corporation/partnership Former officer of a corporation/partnership Section 1 Other person Person subject to Name of person: this application Address:

To attend and give verbal evidence Section 2 To attend and produce to the court for use in the inquiry the following record or thing: ………. Means inquiry

s 27

The judgment creditor applies for the following order: Section 3 Time for Payment Order; Instalment Order; or Application for an Earnings Appropriation Order, as a consequence of the instalment order made on enforcement order after a means / /20 , being disobeyed and cancelled by the court on / /20 inquiry ss 32,33,35

Section 4 Personal property located or may be found at: Real property, the land sought to be affected by the Property (Seizure and Sale) Order is all Property (seizure that piece of land being: and sale) order s 59 on Certificate of Title volume Folio standing in the register book in the name/s of (occupation). As to the interest of the land is situated at

PTO Property ordered to be seized and delivered: Section 5 The respondent has failed to deliver the above property as ordered. Additional description of improvements to real property: Property (seizure and delivery) order Additional description of personal property: s 95

Name of third person Section 6 Address Debt appropriation Details of available debt: order s 49 The affidavit in support is attached

Details of default: The judgment debtor has disobeyed the Time for Payment Order made on the Section 7 day of 20 The judgment debtor has on two (2) or more occasions not paid an instalment in respect of Default inquiry an instalment order made on the day of 20 s 88 To attend and give oral evidence To attend and produce to the court for use in the inquiry the following record or thing:

Interest payable at % pa, on $ being a daily rate of $ Section 8 from / /20 until final payment. (If any payments have been made since the date of judgment, a schedule of payments Interest on and interest calculated on reducing balance must be attached.) judgements I do not wish to claim part of the interest (give details). s 8 I do not wish to claim any interest (waived claim).

Judgment sum $ Section 9 Less paid/credit amount $ Balance of judgment sum $ Amount owed Add interest $ Previous enforcement costs $ Sub total $ Application fee $ Sheriff’s fees/claimant service fees $ Section 10 Travelling fee $ Poundage for Property (Seizure and Delivery) Order $ Enforcement costs Lawyer’s costs $ Total judgment debt $

I certify that where previous enforcement costs have been claimed, they have been properly incurred. No other order is in effect. Signature of applicant/or lawyer: Date:

Address for service Residential or principal place of business or registered office address: …

Contact details Telephone: Lawyer’s ref: Fax: E mail:

OFFICE USE ONLY Hearing date: Date filed: Time: Day: Date: 20 Time: am/pm am/pm

Form 6 Version 4 21 October 2008