Reply to an attachment of earnings application (County Court)

Published date21 March 2018
Subject MatterCounty Court forms
Form for replying to an
attachment of earnings application
●Readthenotesonthenoticeofapplicationbefore
completingthisform.
●Tickthecorrectboxesandgiveasmuchinformation
asyoucan.Thecourtwillmakeanorderbasedonthe
informationyougiveonthisform.Youmustgivefulldetails
ofyouremploymentandyourincomeandoutgoings.
Encloseacopyofyourmostrecentpayslipifyoucan.
●Make your offer of payment in box 10. You will get some
idea of how much to offer by adding up your expenses in
boxes 6, 7, 8 and 9 and taking them from your total
income (box 5).
Sendortakethiscompletedandsignedformimmediately
tothecourtofceshownonthenoticeofapplication.
●Youshouldkeepyourcopyofthenoticeofapplication
unlessyouaremakingfullpayment.(Thisdoesnotapply
tomaintenanceapplications).
●Fordetailsofwhereandhowtopayseenoticeof
application.
1. Personal details
3. Employment
4. Bank account and savings
N56Statementofmeans-attachmentofearnings(06.08) ©Crowncopyright2008
2. Dependants(people you look after nancially)
In the
Claim no.
Application no.
Claimant (including ref.)
Defendant
Surname
Forename
Mr Mrs Miss Ms
Other(specify)
Married/Civilpartnership Single
Age
Address
Children(under19) Others(givedetails)
Age DateofBirth
(Ifmorecontinueonaseparatesheet)
County Court
Iam employedasa
selfemployedasa
unemployed
apensioner
a. employment
Myemployeris
Employer’saddress
Addressofemployer’s
headofce(if different
from above)
Myworksnumberand/or
payreferenceis
Jobsotherthanmainjob
(give details)
b. self employment
Lengthoftime
selfemployed
c. unemployment
Lengthoftime
unemployed
Givedetailsof
anyoutstanding
interviews
Ihaveabankaccount
Theaccountisincreditby £
Theaccountisoverdrawnby £
Ihaveasavingsaccountorbuildingsocietyaccount
Theamountintheaccountis £
Postcode
years  months
Postcode
Postcode
years  months
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