Form 55D

Courts of Justice Act

notice of contested claim

(General heading)

notice of contested claim

YOUR CLAIM IN THIS PROCEEDING IS BEING CONTESTED.  You are required to prove your claim before the referee on (day), (date), (time), at (address).

IF YOU FAIL TO ATTEND AND PROVE YOUR CLAIM, YOUR CLAIM MAY BE DISALLOWED.

(Date)

(Name, address and telephone number of party or solicitor serving notice)

TO     (Name and address of creditor)

RCP-E 55D (November 1, 2005)