13.07.2015 Views

Sample 6 – Statement of claim (PDF, 187 KB) - Legal Aid Queensland

Sample 6 – Statement of claim (PDF, 187 KB) - Legal Aid Queensland

Sample 6 – Statement of claim (PDF, 187 KB) - Legal Aid Queensland

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<strong>Statement</strong> <strong>of</strong> <strong>claim</strong> cont’dThe plaintiff <strong>claim</strong>s the following relief:PARTICULARS OF LOSS AND DAMAGE —Repair to vehicle $2500 and towing fee <strong>of</strong> $200, total $2700.The plaintiff also <strong>claim</strong>s the sum <strong>of</strong> $2700 against the defendant, together withinterest under the Supreme Court Act 1995 and costs.Signed:Description: PlaintiffDated: 21/11/2013NOTICE AS TO DEFENCEYour defence must be attached to your notice <strong>of</strong> intention to defend.<strong>Sample</strong>

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