Request for issue of judgment summons
Published date | 21 March 2018 |
1
Request for issue of
judgment summons
D62 Request for issue of judgment summons (11.14) © Crown Copyright 2014
To be completed by the relevant party
Name of court Case No.
Name of Petitioner
Name of Respondent
Name of Co-Respondent (if applicable)
Fee charged/Remission ID
Amount claimed as due and unpaid in respect of the order and any costs £
Court fee paid to issue this judgment summons £
Amount (if any) paid to you for your travelling expenses to the Court £
Total Amount £
Judgment creditor’s full name and address
Judgment debtor’s full name and address
I apply for the issue of a judgment summons against the above named debtor in respect of an order made
in this court on the
for (please give details of the order)
If completing this form by hand, please us e black ink
and BLOCK CAPITAL LETTERS and tick the boxes
that apply.
I intend to apply to the Court at the hearing for the proposed judgment summons for leave to
enforce arrears which became due more than twelve months before the date of the judgment
summons.
I am aware that if I do not prove to the satisfaction of the Court at the hearing that the debtor has,
or has had since the date of the order, the means to pay the sum in respect of which he has made
default and that he has refused or neglected, or refuses or neglects, to pay it, I may have to pay
the costs of the judgment summons.
I certify that the order has not been modied or discharged and that there is no order of
commitment in this matter which remains unsatised.
I further certif y that no [writ or] warrant of execution has been issued to enforce the order.
Dated
Signed
[Solicitor for the] judgment creditor
D D /M M /YYYY
D D /M M /YYYY
Solicitor’s fee account no.
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