District Courts Rules 2014

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Form 50
Affidavit in support of application for charging order

r 19.24(2)

Complete and insert the heading as set out in form 49.

I, [name, address, occupation], swear/solemnly and sincerely affirm*—

*Select one.
  • 1 On [date], in the District Court at [place], the judgment creditor obtained a judgment/order* in this proceeding against the judgment debtor for the payment of the sum of $[amount], including costs.

    *Select one.
  • 2 For this paragraph select the statement that applies.

  • Statement A
  • The judgment/order* is still unsatisfied.

    *Select one.
  • Statement B
  • The sum of $[amount], part of the sum adjudged/ordered* to be paid, is still unsatisfied.

    *Select one.
  • 3 I believe that the judgment debtor is beneficially entitled to the following property:

  • [specify type of property, including,—

    • (a) in the case of land,—

      • (i) the alleged estate, right, title, or interest of the judgment debtor; and

      • (ii) the nature, location, and description of the property:

    • (b) in the case of any right or interest in a partnership, the name and business address of the partnership and the extent of the alleged interest:

    • (c) in the case of shares, the name of the company, the address of its registered office, and the alleged number and denomination of the shares:

    • (d) in the case of any estate, right, or interest in any land, or in any money, shares, or other chattels, held under or by virtue of any trust for the judgment debtor, the name and address of the trustee or trustees of the trust].

Signature of deponent:

Sworn/Affirmed* at [place, date]

Before me: [name, signature]

Registrar/Deputy Registrar/Solicitor/Justice of the Peace*)

*Select one.