Form 4B

Courts of Justice Act

general heading of documents — applications

(Court file no.)

ONTARIO

SUPERIOR COURT OF JUSTICE

b e t w e e n:

(name)

Applicant

and

(name)

Respondent

APPLICATION UNDER (statutory provision or rule under which the application is made)

(Title of document)

(Text of document)

(In a proceeding in an appellate court, follow Form 61B; in an appeal from the Ontario Court of Justice, follow Form 70A.)

RCP-E 4B (November 1, 2005)