Form 4 "Notice of Third Party Claim" - Nunavut, Canada

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Download Form 4 "Notice of Third Party Claim" - Nunavut, Canada

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Form 4
I
N
C
J
— S
C
N THE
UNAVUT
OURT OF
USTICE
MALL
LAIMS
NOTICE OF THIRD PARTY CLAIM
File No.____________
FROM (DEFENDANT) (Please print)
Name
Home phone No.
Address
Community
Work phone No.
Postal Code
Email address
Fax No.
Address for Service
TO (THIRD PARTY) (Please print)
Name
Home phone No.
Address
Community
Work phone No.
Postal Code
Email address
Fax No.
AND TO (ADDITIONAL DEFENDANT) (Please print)
Name
Home phone No.
Address
Community
Work phone No.
Postal Code
Email address
Fax No.
TO THE THIRD PARTY*
Attention: Please read the Notice on the back.
* ᐱᖓᔪᒋᔭᐅᔪᓄᑦ: ᐊᑏ ᐅᖃᓕᒫᒃᑭᒃ ᑐᓄᐊᓃᑦᑐᑦ ᐆᒪ (ᐃᓄᒃᑎᑑᕐᑐᑦ).
* À L’ATTENTION DU TIERS MIS EN CAUSE : Veuillez lire l’avis à l’endos.
AND
A
SMALL CLAIM HAS BEEN BROUGHT AGAINST THE DEFENDANT
T
$
.
HE DEFENDANT SEEKS FROM YOU
Explain why the third party should pay all or part of the small claim. (Use additional sheet of paper if necessary)
Yes
No
Is your third party claim for more than $20,000?
Yes
No
If yes, are you abandoning the amount over $20,000?**
** If you abandon part of your claim, you agree not to try to recover it in another small claim or other legal
proceedings.
The third party understands the language of this third party claim.*** Yes
No
Unknown
*** If the third party does not understand the language of this claim, this may delay the proceedings.
___________________________________________________
_________________
Signature of Defendant
Date
_________________________
_______
______________
__
ISSUED at
, in Nunavut on the
day of
, 20
.
(Community)
_____________________________
Clerk of the Nunavut Court of Justice
Form 4
I
N
C
J
— S
C
N THE
UNAVUT
OURT OF
USTICE
MALL
LAIMS
NOTICE OF THIRD PARTY CLAIM
File No.____________
FROM (DEFENDANT) (Please print)
Name
Home phone No.
Address
Community
Work phone No.
Postal Code
Email address
Fax No.
Address for Service
TO (THIRD PARTY) (Please print)
Name
Home phone No.
Address
Community
Work phone No.
Postal Code
Email address
Fax No.
AND TO (ADDITIONAL DEFENDANT) (Please print)
Name
Home phone No.
Address
Community
Work phone No.
Postal Code
Email address
Fax No.
TO THE THIRD PARTY*
Attention: Please read the Notice on the back.
* ᐱᖓᔪᒋᔭᐅᔪᓄᑦ: ᐊᑏ ᐅᖃᓕᒫᒃᑭᒃ ᑐᓄᐊᓃᑦᑐᑦ ᐆᒪ (ᐃᓄᒃᑎᑑᕐᑐᑦ).
* À L’ATTENTION DU TIERS MIS EN CAUSE : Veuillez lire l’avis à l’endos.
AND
A
SMALL CLAIM HAS BEEN BROUGHT AGAINST THE DEFENDANT
T
$
.
HE DEFENDANT SEEKS FROM YOU
Explain why the third party should pay all or part of the small claim. (Use additional sheet of paper if necessary)
Yes
No
Is your third party claim for more than $20,000?
Yes
No
If yes, are you abandoning the amount over $20,000?**
** If you abandon part of your claim, you agree not to try to recover it in another small claim or other legal
proceedings.
The third party understands the language of this third party claim.*** Yes
No
Unknown
*** If the third party does not understand the language of this claim, this may delay the proceedings.
___________________________________________________
_________________
Signature of Defendant
Date
_________________________
_______
______________
__
ISSUED at
, in Nunavut on the
day of
, 20
.
(Community)
_____________________________
Clerk of the Nunavut Court of Justice
NOTICE TO THE THIRD PARTY
This third party claim was filed against you in the Nunavut Court of Justice. YOU MUST REPLY WITHIN 30
DAYS OF RECEIPT OF THIS DOCUMENT.
You can either:
(I) AGREE WITH THE CLAIM:
You must complete a Reply (including Part A) and file it at the Nunavut Court of Justice. You will either attach
payment for the full amount of the claim payable to the claimant (money order or certified cheque) OR you will
propose an amount which you could pay and the dates you could make these payments.
OR
(II) DISAGREE WITH THE CLAIM:
You must complete a Reply (including Part B) indicating the reasons you do not agree with the claim and file it at the
Nunavut Court of Justice.
If you have your own claim against the claimant, mark the Counterclaim section on the Reply and complete a
Counterclaim and file both forms at the Nunavut Court of Justice.
If you have a claim against someone else, mark the Third Party Claim section on the Reply and complete a Third Party
Claim and file both forms at the Nunavut Court of Justice.
IF YOU FAIL TO REPLY WITHIN 30 DAYS, JUDGMENT MAY BE ENTERED
AGAINST YOU WITHOUT FURTHER NOTICE.
NOTICE
IF YOU DO NOT UNDERSTAND THE LANGUAGE OF THIS DOCUMENT, YOU MUST CONTACT THE
CLERK WITHIN 25 DAYS (30 DAYS IF YOU LIVE AND CARRY ON BUSINESS OUTSIDE NUNAVUT)
OF RECEIPT OF THIS DOCUMENT.
ᖃᐅᔨᒃᑲᐃᓂᖅ ᐱᖓᔪᒋᔭᐅᔪᓂᒃ
ᑐᑭᓯᒪᖏᒃᑯᕕᑦ ᐅᖃᐅᓯᕐᒥᒃ ᐊᑐᕐᑕᐅᔪᒥᒃ ᐅᕙᓂ ᑎᑎᖃᓂ, ᖃᐅᔨᒃᑲᕆᐊᖃᕐᑕᐃᑦ ᑎᑎᕋᕐᑎ ᐅᑉᓗᐃᑦ
25 ᐃᓗᐊᓐᓂ (30-ᓂᒃ ᐅᑉᓗᓂᒃ ᓄᓇᖃᕈᕕᑦ ᓇᖕᒥᓂᖁᑎᖃᕈᕕᑦᓗ ᓄᓇᕗᑦ ᓯᓚᑖᓂ) ᐅᓇ ᑎᑎᖃᖅ
ᐱᓯᒪᓕᕐᓗᒍ.
AVIS AU MIS EN CAUSE
SI VOUS NE COMPRENEZ PAS LA LANGUE DU PRÉSENT DOCUMENT, VOUS DEVEZ EN FAIRE
MENTION AU GREFFIER DANS UN DÉLAI DE 25 JOURS SUIVANT LA RÉCEPTION DE CE
DOCUMENT (30 JOURS SI VOUS RÉSIDEZ À L’EXTÉRIEUR DU NUNAVUT ET N’Y FAITES PAS
AFFAIRE).
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