Form 11-2A "Request for Clerk's Order on Consent" - Ontario, Canada

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ONTARIO
Superior Court of Justice
Request for Clerk’s Order on Consen
t
Form 11.2A Ont. Reg. No.: 258/98
Small Claims Court
Claim No.
Address
Phone Number
Plaintiff No. 1
Additional plaintiff(s) listed on attached Form 1A.
Last name, or name of company
First Name
Second Name
Also Known as
Address (street number, apt., unit)
City/Town
Province
Phone no.
Postal Code
Fax no.
Representative
LSUC #
Address (street number, apt., unit)
City/Town
Province
Phone no.
Postal Code
Fax no.
Defendant No. 1
Additional defendant(s) listed on attached Form 1A.
Last name, or name of company
First Name
Second Name
Also Known as
Address (street number, apt., unit)
City/Town
Province
Phone no.
Postal Code
Fax no.
Representative
LSUC no.
Address (street number, apt., unit)
City/Town
Province
Phone no.
Postal Code
Fax no.
NOTE:
This request must be signed by all parties and anyone being added, deleted or substituted.
Les formules des tribunaux sont affichées en anglais et en français sur le site
www.ontariocourtforms.on.ca. Visitez ce site pour des renseignements sur des formats
accessibles.
RSCC-11-2A-E (2014/01)
ONTARIO
Superior Court of Justice
Request for Clerk’s Order on Consen
t
Form 11.2A Ont. Reg. No.: 258/98
Small Claims Court
Claim No.
Address
Phone Number
Plaintiff No. 1
Additional plaintiff(s) listed on attached Form 1A.
Last name, or name of company
First Name
Second Name
Also Known as
Address (street number, apt., unit)
City/Town
Province
Phone no.
Postal Code
Fax no.
Representative
LSUC #
Address (street number, apt., unit)
City/Town
Province
Phone no.
Postal Code
Fax no.
Defendant No. 1
Additional defendant(s) listed on attached Form 1A.
Last name, or name of company
First Name
Second Name
Also Known as
Address (street number, apt., unit)
City/Town
Province
Phone no.
Postal Code
Fax no.
Representative
LSUC no.
Address (street number, apt., unit)
City/Town
Province
Phone no.
Postal Code
Fax no.
NOTE:
This request must be signed by all parties and anyone being added, deleted or substituted.
Les formules des tribunaux sont affichées en anglais et en français sur le site
www.ontariocourtforms.on.ca. Visitez ce site pour des renseignements sur des formats
accessibles.
RSCC-11-2A-E (2014/01)
FORM 11.2A
PAGE 2
Claim No.
TO THE PARTIES
THIS REQUEST IS FILLED BY:
(Name of party)
I state that:
Each party has received a copy of this form.
No party that would be affected by the order is under disability.
This form has been signed and consented to by all parties, including any parties to be added, deleted or substituted.
I request that the clerk make the following order(s) on the consent of all parties:
(Check appropriate boxes).
set aside the nothing in default of
(Name of defendant(s))
set aside Default Judgement against
(Name of defendant(s))
restore to the list the following matter that was dismissed under Rule 11.1: (Specify.)
cancel the examination hearing regarding
(Name of person to be examined)
with respect to the following step(s) taken to enforce the default judgment that are not yet completed:
withdraw the Writ of Seizure and Sale of Land issued against: (Name of debtor(s))
and directed to the sheriff of the
:
(Name of county/region in which the sheriff (enforcement office) is located)
(Provide instructions about what is to be done with any proceeds held or property seized by the sheriff.)
withdraw the Writ of Seizure and Sale of Personal Property issued against: (Name of debtor(s))
and directed to the sheriff of the
:
(Small Claims Court location)
(Provide instructions about what is to be done with any proceeds held by the clerk of the court or prophecy that has been
seized by the bailiff.)
RSCC-11-2A-E (2014/01)
Continued on next page
FORM 11.2A
PAGE 3
Claim No.
terminate the Notice of Garnishment or Notice of Renewal of Garnishment issued against:
(Name of debtor(s))
:
and directed to
(Name of garnishee)
(Provide instructions about what is to be done with any money held by the clerk of the court.)
note that payment has been made in full satisfaction of an order or terms of settlement
dismiss the:
Plaintiff's Claim
Defendant's Claim
costs in the amount of $
, to be paid to
(Amount)
(Name of party(ies))
by
(Name of party(ies))
The originally scheduled trial date is less than 30 days away and I request that the clerk make the following order(s) on the
consent of all parties and any person to be added or substituted :
(Check appropriate boxes.)
amend a Plaintiff’s Claim issued on
.
, 20
(Attach two (2) copies of the amended Plaintiff’s Claim.)
.
amend a defence filed on
, 20
(Attach two (2) copies of the amended Defence.)
.
amend a Defendant's Claim issued on
, 20
(Attach two (2) copies of the amended Defendant's Claim.)
add
(Name of party)
to the
Plaintiff's Claim
Defendant's Claim
as a
Defendant
Plaintiff
delete
(Name of party)
from the
Plaintiff's Claim
Defendant's Claim
substitute
(Name of party)
with
(Name of party)
in the
Plaintiff's Claim
Defendant's Claim
RSCC-11-2A-E (2014/01)
Continued on next page
FORM 11.2A
PAGE 4
Claim No.
, 20
, 20
(Signature of party consenting)
(Signature of party consenting)
(Name of party consenting)
(Name of party consenting)
(Signature of witness)
(Signature of witness)
(Name of witness)
(Name of witness)
, 20
, 20
(Signature of party consenting)
(Signature of party consenting)
(Name of party consenting)
(Name of party consenting)
(Signature of witness)
(Signature of witness)
(Name of witness)
(Name of witness)
DISPOSITION:
The clerk of the court will complete this section.
order to go as asked
order refused because:
, 20
(Signature of clerk)
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RSCC-11-2A-E (2014/01)
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