Respond to a money claim: unspecified amount
| Published date | 21 March 2018 |
| Subject Matter | County Court forms |
N9C Admission (unspecied amount and non-money claims) (04.06) HMCS
Admission (unspecied amount,
non-money and return of goods claims)
• Before completing this form please read the notes
for guidance attached to the claim form. If necessary
provide details on a separate sheet, add the claim
number and attach it to this form.
Yes No
Part A Response to claim (tick one box only)
I admit liability for the whole claim but want the court to
decide the amount I should pay / value of the goods
OR
I admit liability for the claim and offer to
pay in satisfaction of the claim
(Complete part B and sections 1 - 11)
Part B How are you going to pay the amount
you have admitted? (tick one box only)
I offer to pay on (date)
OR
I cannot pay the amount immediately because (state reason)
I offer to pay by instalments of £
per (week)(month)
starting (date)
AND
In the
Claim No.
(including ref.)
Defendant
Claimant
• If you are not an individual, you should ensure that you
provide sufcient details about the assets and liabilities
of your rm, company or corporation to support any
offer of payment made.
In return of goods cases only
Are the goods still in your possession?
1 Personal details
Surname
Forename
Mr Mrs Miss Ms
Married Single Other (specify)
Date of
birth
Address
3 Employment
I am employed as a
My employer is
Jobs other than
main job (give details)
I am self employed as a
Annual turnover is........................... £
I am not in arrears with my national insurance
contributions, income tax and VAT
I am in arrears and I owe........... £
Give details of:
(a) contracts and
other work in hand
(b) any sums due
for work done
I have been unemployed for years months
I am a pensioner
4 Bank account and savings
I have a bank account
The account is in credit by........ £
The account is overdrawn by.... £
I have a savings or building society account
The amount in the account is.......... £
5 Residence
I live in my own property
jointly owned house
lodgings
rented property
council accommodation
2 Dependants (people you look after nancially)
Number of children in each age group
under 11 11-15 16-17 18 & over
Other dependants
(give details)
In non-money claims only
I admit liability for the whole claim
(Complete section 11)
Postcode
Tel. no.
D D M M Y Y Y Y
Click here to print form
Click here to reset form
To continue reading
Request your trial