Form 26 - Examination Summons

Judgment Creditor’s Solicitor
Form No 26
SOUTH AUSTRALIA
MAGISTRATES COURT (CIVIL DIVISION)
Examination Summons
Registry of Issue:
OFFICE USE ONLY
Date of Issue:
Action No.:
Address:
Telephone:
Fax No.:
JUDGMENT CREDITOR
JUDGMENT DEBTOR
The judgment creditor claims that you have failed to comply with an order for payment as follows:
Judgment Debt
$
due
/
/
but unpaid
due
due
/
/
/
/
but unpaid
but unpaid
(or instalment payments.)
payment
payment
$
$
You may have failed to make other payments due.
TO: JUDGMENT DEBTOR
You must appear at the MAGISTRATES COURT at
on
the
day of
to be examined.
20
at
am/pm
IF YOU DO NOT ATTEND, WITHIN 15 MINUTES OF THE APPOINTED TIME AND
WAIT UNTIL YOUR CASE IS CALLED, YOU MAY BE ARRESTED.
IF YOU HAVE FAILED TO COMPLY WITH AN ORDER FOR PAYMENT OF THE
JUDGMENT DEBT OR TO PAY TWO INSTALMENTS, YOU MAY BE GAOLED FOR UP TO
40 DAYS. YOU SHOULD BE PREPARED TO EXPLAIN WHY YOU HAVE FAILED TO
COMPLY WITH THE ORDER AND TO MAKE ALL PAYMENTS DUE AT THE HEARING.
TOTAL OWING - $ ____________
AFFIDAVIT OF PROOF OF SERVICE
I,
of
Occupation:
MAKE OATH AND SAY that:
I did on the .......... day of ................................ 20 ............between the hours of ................. and
.................. duly serve the judgment debtor with a copy of the summons and form 17 at ..........
.......................................................................................................................................................
SWORN before me at
day of
the
20
.
Signature:
(Person authorised to take Affidavits
(e.g. Justice of the Peace)