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District Court Rules

Schedule: C - Forms in civil proceedings

Form: 99A.1 Application For An Excluding Order - Housing (Miscellaneous Provisions) Act 1997
S.I. No. 133 of 2006

Schedule C
O.99A, r. 4(1)

No. 99A.1

An Chúirt Dúiche The District Court

Housing (Miscellaneous Provisions) Act 1997

Section 3

Application For An Excluding Order


*District Court Area of

*District No

*Dublin Metropolitan District

……………………………… Applicant

……………………………… Respondent


TAKE NOTICE that application will be made to the District Court to be held at ………. on the .. day of ………. 20 ……, at ……a.m./p.m. by the applicant who is

*a tenant of a house let to him/her by a housing authority

*a relevant purchaser, within the meaning of section 1 of the Housing (Miscellaneous Provisions) Act 1997 (as amended), of a house

*a housing authority which has provided a house under the Housing Acts 1966 to 2002 or Part V of the Planning and Development Act 2000,

for an excluding order against you, the respondent pursuant to the provisions of section 3 of the above-mentioned Act,

*directing you to leave the house at ……………….*(in the Court District aforesaid) and

*prohibiting you from entering or being in the vicinity of that house or any other house to be specified in the order of the Court or being in or in the vicinity of any specified area specified in the order of the Court *save where conditions specified in the order of the Court are complied with.

Dated this….day of …………. 20….

*Applicant

*Solicitor for Applicant

To……………………..

of……………………..

Respondent

*Delete where inapplicable