TASMANIA MAGISTRATES COURT (CIVIL DIVISION) FORM 13 NOTICE OF PAYMENT INTO COURT MAGISTRATES COURT ACTION No. . Address: Phone No: Fax No: CLAIMANT: DEFENDANT: To: . TAKE NOTICE that the . ………………………………………………… has paid into ( Claimant / Defendant / Third Party / etc. ) Court the sum of $. in full and final settlement of his / her/ its liability to the in this action. ....………………………………………………...... ( Claimant / Defendant / Third Party / etc. ) The amount stated above includes* / does not include* an amount in respect of costs. This payment into Court is made with* / without* an admission of liability. Dated:...................................Signed............................................................................................ * Delete whichever is inapplicable Filed by or on behalf of address for the ..................…………...............................................whose service of documents is: .......................................................................... Phone: Fax: DX: Contact:
TASMANIA MAGISTRATES COURT (CIVIL DIVISION) FORM 13 NOTICE OF PAYMENT INTO COURT MAGISTRATES COURT ACTION No. . Address: Phone No: Fax No: CLAIMANT: DEFENDANT: To: . TAKE NOTICE that the . ………………………………………………… has paid into ( Claimant / Defendant / Third Party / etc. ) Court the sum of $. in full and final settlement of his / her/ its liability to the ....………………………………………………...... in this action. ( Claimant / Defendant / Third Party / etc. ) The amount stated above includes* / does not include* an amount in respect of costs. This payment into Court is made with* / without* an admission of liability. Dated:...................................Signed............................................................................................ * Delete whichever is inapplicable Filed by or on behalf of ..................…………...............................................whose address for the service of documents is: .......................................................................... Phone: Fax: DX: Contact:
Form_13_-_Payment_into_court.docx