Home
English VersionIrish Version
Search for Click to Search
Advanced Search
Printable Version
All SectionsPractice DirectionsCourt Rules Terms & Sittings
Legal Diary Offices & Maps Judgments & Determinations

District Court Rules

Schedule: C - Forms in civil proceedings

Form: 53A.03 Small Claims Procedure: notice of acceptance of liability

S.I. No. 17 of 2014

53A.03

Small Claims Procedure: notice of acceptance of liability


Schedule C
Order 53A r. 6

AN CHÚIRT DÚICHE

THE DISTRICT COURT

Dublin Metropolitan District/District Court Area of ........ District No. ........

District Court Small Claims Procedure

NOTICE OF ACCEPTANCE OF LIABILITY


CLAIMANT: Name and address of person making the claim ........

RESPONDENT: Name and address of address of person against whom the claim is made ........

I admit the claim made against me in the above matter and

      *I agree to pay the amount claimed and enclose herewith applicable cheque/postal order(s) /money orders(s), made payable to the claimant, for the sum of €........ in full settlement.

      *I agree to pay the amount claimed and I will refund the full amount to the claimant when the goods are returned by the claimant.

      *I consent to judgment being given against me.

      *I wish to pay the amount claimed by instalments of €....... per *week/

      *month.

Dated this ...... day of ........ 20...

........

Signature of the Respondent

To: the Small Claims Registrar, District Court Office,

at ........

*delete where inapplicable