Form SCL841 "Request for Payment out" - British Columbia, Canada

Form SCL841 is a Provincial Court of British Columbia form also known as the "Form Scl841 "request For Payment Out" - British Columbia, Canada". The latest edition of the form was released in January 1, 2015 and is available for digital filing.

Download an up-to-date Form SCL841 in PDF-format down below or look it up on the Provincial Court of British Columbia Forms website.

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Download Form SCL841 "Request for Payment out" - British Columbia, Canada

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REQUEST FOR PAYMENT OUT
REGISTRY FILE NUMBER
In the Provincial Court of British Columbia (Small Claims Court)
REGISTRY LOCATION
BETWEEN:
CREDITOR
NAME
AND:
DEBTOR
NAME
As per the payment(s) into court and Garnishing Order(s) listed on page 2, the total payment out in the amount of
$
is being requested from the court.
In support of this payment out, the following requirement has been met: (indicate which applies)
Garnishing Order(s) (listed on Page 2) has/have been served on the debtor, and Affidavit of Service dated
has been filed with the Court Registry, a Notice of Payment Out of Money Paid Into Court by
Garnishee has been served on the Debtor, and Affidavit of Service dated
has been filed with
the Court Registry, and at least 10 days have passed since service.
Garnishing Order(s) (listed on Page 2) has/have been served on the debtor, and Affidavit of Service dated
has been filed with the Court Registry, judgment was obtained by default on
, and at least 90 days have passed since funds have been paid into court.
DATE
The debtor consented to payment out on
DATE
Payment out was ordered by default on
DATE
Cheque to be made payable to:
If a cheque for payment out cannot be mailed, provide reason why:
Mailing address:
Phone number for pick up:
For Registry Use Only
Payment To:
Use of locally printed cheque approved:
Yes
No
Total Amount: $
Payment Authority:
Expense Authority:
Date Paid:
SCL 841 01/2015
REQUEST FOR PAYMENT OUT
REGISTRY FILE NUMBER
In the Provincial Court of British Columbia (Small Claims Court)
REGISTRY LOCATION
BETWEEN:
CREDITOR
NAME
AND:
DEBTOR
NAME
As per the payment(s) into court and Garnishing Order(s) listed on page 2, the total payment out in the amount of
$
is being requested from the court.
In support of this payment out, the following requirement has been met: (indicate which applies)
Garnishing Order(s) (listed on Page 2) has/have been served on the debtor, and Affidavit of Service dated
has been filed with the Court Registry, a Notice of Payment Out of Money Paid Into Court by
Garnishee has been served on the Debtor, and Affidavit of Service dated
has been filed with
the Court Registry, and at least 10 days have passed since service.
Garnishing Order(s) (listed on Page 2) has/have been served on the debtor, and Affidavit of Service dated
has been filed with the Court Registry, judgment was obtained by default on
, and at least 90 days have passed since funds have been paid into court.
DATE
The debtor consented to payment out on
DATE
Payment out was ordered by default on
DATE
Cheque to be made payable to:
If a cheque for payment out cannot be mailed, provide reason why:
Mailing address:
Phone number for pick up:
For Registry Use Only
Payment To:
Use of locally printed cheque approved:
Yes
No
Total Amount: $
Payment Authority:
Expense Authority:
Date Paid:
SCL 841 01/2015
Schedule of Garnishing Orders and Payments (To be Completed by Applicant)
Garnishee
Garnishing Order Dated
Payment In Amount $
Date of Payment Into Court
(dd/mm/yyyy)
(dd/mm/yyyy)
Garnishing Order Dated
Payment In Amount $
Date of Payment Into Court
(dd/mm/yyyy)
(dd/mm/yyyy)
Garnishing Order Dated
Payment In Amount $
Date of Payment Into Court
(dd/mm/yyyy)
(dd/mm/yyyy)
Garnishing Order Dated
Payment In Amount $
Date of Payment Into Court
(dd/mm/yyyy)
(dd/mm/yyyy)
Garnishing Order Dated
Payment In Amount $
Date of Payment Into Court
(dd/mm/yyyy)
(dd/mm/yyyy)
Garnishee
Garnishing Order Dated
Payment In Amount $
Date of Payment Into Court
(dd/mm/yyyy)
(dd/mm/yyyy)
Garnishing Order Dated
Payment In Amount $
Date of Payment Into Court
(dd/mm/yyyy)
(dd/mm/yyyy)
Garnishing Order Dated
Payment In Amount $
Date of Payment Into Court
(dd/mm/yyyy)
(dd/mm/yyyy)
Garnishing Order Dated
Payment In Amount $
Date of Payment Into Court
(dd/mm/yyyy)
(dd/mm/yyyy)
Garnishing Order Dated
Payment In Amount $
Date of Payment Into Court
(dd/mm/yyyy)
(dd/mm/yyyy)
Garnishee
Garnishing Order Dated
Payment In Amount $
Date of Payment Into Court
(dd/mm/yyyy)
(dd/mm/yyyy)
Garnishing Order Dated
Payment In Amount $
Date of Payment Into Court
(dd/mm/yyyy)
(dd/mm/yyyy)
Garnishing Order Dated
Payment In Amount $
Date of Payment Into Court
(dd/mm/yyyy)
(dd/mm/yyyy)
Garnishing Order Dated
Payment In Amount $
Date of Payment Into Court
(dd/mm/yyyy)
(dd/mm/yyyy)
Garnishing Order Dated
Payment In Amount $
Date of Payment Into Court
(dd/mm/yyyy)
(dd/mm/yyyy)
Garnishee
Garnishing Order Dated
Payment In Amount $
Date of Payment Into Court
(dd/mm/yyyy)
(dd/mm/yyyy)
Garnishing Order Dated
Payment In Amount $
Date of Payment Into Court
(dd/mm/yyyy)
(dd/mm/yyyy)
Garnishing Order Dated
Payment In Amount $
Date of Payment Into Court
(dd/mm/yyyy)
(dd/mm/yyyy)
Garnishing Order Dated
Payment In Amount $
Date of Payment Into Court
(dd/mm/yyyy)
(dd/mm/yyyy)
Garnishing Order Dated
Payment In Amount $
Date of Payment Into Court
(dd/mm/yyyy)
(dd/mm/yyyy)
TOTAL REQUEST FOR PAYMENT OUT $
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