Civil Claims Rules

Definitions

In these rules,

"Act" means the Territorial Court Act; (Loi)

"claim" means a legal demand or assertion by a claimant for debt, demand, damages or recovery of personal property; (réclamation)

"claimant" means a person who is making a claim and includes a plaintiff, a plaintiff by counterclaim and a defendant who has filed a Third Party Notice under rule 7; (requérant)

"clerk" means the Clerk of the Territorial Court or a deputy clerk, judicial clerk or another officer appointed under section 27 of the Act; (greffier)

"Consent Order" means a Consent Order in Form 5; (ordonnance sur consentement)

"costs" means the total of all fees, expenses and penalties specified in these rules which are awarded in the discretion of the judge; (dépens)

"counterclaim" means a claim made by a defendant against the plaintiff under rule 6; (demande reconventionnelle)

"creditor" means a person to whom, by order of the Territorial Court, a debtor is required to pay money; (créancier)

"debtor" means a person who, by order of the Territorial Court, is required to pay money to a creditor; (débiteur)

"defendant" means a person against whom an action is commenced; (défendeur)

"defendant by counterclaim" means a plaintiff against whom a counterclaim is commenced under subrule 6(1); (défendeur reconventionnel) "expenses" means disbursements and fees, other than fees required under the Court Services Fees Regulations, reasonably incurred by a person in connection with an action; (frais)

"judge" means a territorial judge; (juge)

"justice" means a justice of the peace as defined in section 1 of the Justices of the Peace Act; (juge de paix)

"law student" means a law student as defined in rule 33 of the Rules of the Law Society of the Northwest Territories; (étudiant en droit)

"lawyer" means an active member as defined in section 1 of the Legal Profession Act; (avocat)

"Offer to Settle" means an Offer to Settle in Form 19 referred to in subrule 14(2) to settle a claim; (offre de règlement)

"ordinary service" means service made in accordance with subrule 4(2); (signification ordinaire)

"personal service" means personal service made in accordance with subrule 4(3); (signification à personne)

"plaintiff" means a person who commences an action by filing a Statement of Claim under rule 3; (demandeur)

"plaintiff by counterclaim" means a defendant who commences a counterclaim under subrule 6(1); (demandeur reconventionnel)

"pleading" means a Statement of Claim, Statement of Defence, Third Party Notice, Counterclaim, Statement of Defence to Counterclaim or Statement of Defence to Third Party Notice; (acte de procédure)

"prescribed fee" means the applicable fee required under the Court Services Fees Regulations; (droit réglementaire)

"Recognizance" means a Recognizance in Form 18 authorizing that a person be released from arrest or imprisonment subject to conditions set out in the form; (engagement)

"registered mail" means a prepaid delivery system effected by courier, including a post office or other person, where the courier

"respondent" means a defendant, a defendant by counterclaim or a third party against whom a claim is made and who has made a defence against the claim; (intimé)

"service" means the service of a document in accordance with rule 4; (signification)

"Statement of Claim" means the pleading in Form 1 that is referred to in subrule 3(1) to commence an action; (déclaration)

"Statement of Defence" means the pleading in Form 2 that is referred to in subrule 5(2) to defend against an action; (défense)

"Statement of Defence to Counterclaim" means the pleading in Form 7 referred to in subrule 6(4); (défense à une demande reconventionnelle)

"Statement of Defence to Third Party Notice" means the pleading in Form 9 referred to in subrule 7(7); (défense à un avis de mise en cause)

"student-at-law" means a student-at-law as defined in section 1 of the Legal Profession Act; (stagiaire en droit)

"third party" means a person against whom a Third Party Notice has been filed under rule 7; (mis en cause)

"Third Party Notice" means the pleading in Form 8 referred to in subrule 7(1) to name a third party in an action. (avis de mise en cause)

Object

Statement of Claim

Definition: "address for service"

Defence

Making counterclaim

If defendant thinks someone else should pay claim

Definition: "debt"

Settlement conference

Transfer of claim to Supreme Court

Any filed document may be changed

Notice to Attend

Conduct of trial

Claims applicable

Judgment

Purpose

Default hearing

Application

Definitions

Definitions

Consent orders

Changing or cancelling orders made in absence

Contempt

Successful party to receive filing and

Use of forms

Current proceedings under old rules

Any proceedings commenced before the coming into force of these rules shall be continued as if these rules had not come into force.

Repeal

The Territorial Court Civil Claims Rules, established by regulation numbered R-034-92, are repealed.

Coming into force

These rules come into force January 1, 2017.

SCHEDULE

FORM 1—STATEMENT OF CLAIM

MAKING A CLAIM (Paragraph 3(1)(a))

FROM:

STEP 1 Please give an address that is suitable for personal service. Please do COMPLETE the STATEMENT OF CLAIM. To not use a post office box. You must be sure that the address you give is complete this form, type or print clearly. correct because this is where the Territorial Court registry will send any further notices or information to you. If your address changes you must submit a CHANGE OF ADDRESS (Form 4) to the registry.

STEP 2

TO: FILE the STATEMENT OF CLAIM at the Territorial Are you sure you have used the proper name? Court registry. You must also provide the required Is there more than one defendant? If so, put both names (side by side) filing fee. The staff will check the form and, when in the space given. Are you sure the claim(s) are a result of the same it is accepted for filing, apply the registry stamp transaction or event? and return the copies you need for your records and for serving the defendants.

WHAT HAPPENED? You do not need to tell everything about your claim here. You must tell just enough to let the defendant know what the claim is about. Keep STEP 3 your description brief. You will have a full opportunity to present the PERSONALLY SERVE each defendant named in the facts and provide supporting documents at a settlement conference or STATEMENT OF CLAIM with a copy of the trial. document and a blank copy of the STATEMENT OF DEFENCE (Form 2). The purpose is to be sure the defendants know they are being sued and what WHERE? WHEN? the case is about. A STATEMENT OF CLAIM must be filed at the Territorial Court registry nearest to the location in the Northwest Territories where a. the defendant lives or carries on business, OR b. the transaction or event that resulted in the STATEMENT OF CLAIM took place. If the claim is about a breach of contract (e.g. overdue credit account),

STEP 4 tell where the contract was made or account opened or where the THEN if the defendants file a STATEMENT OF payments were to be made or sent. DEFENCE, the Territorial Court registry will send you a copy and set a date for the SETTLEMENT CONFERENCE. If no reply is filed at the Territorial Court registry within the time limit on the HOW MUCH? STATEMENT OF CLAIM, you may apply for a If your claim is made up of several parts, separate them here and show DEFAULT JUDGMENT. You will have to file an the amount you are claiming for each part. AFFIDAVIT OF SERVICE OR ATTEMPTED SERVICE For example, (Form 3) to prove the STATEMENT OF CLAIM has a. Amount owing on unpaid invoice $_____________ been served. b. Interest under the contract $_____________ The defendant might agree with part of your claim if you show its separate parts.

The most you may claim in the Territorial Court is $35,000.00, including the amount of money claimed AND the value of any goods or services claimed. This does not include interest and expenses.

If your claim is for more than $35,000.00 and you wish to file in Territorial Court, just say in this section “I am abandoning the amount over $35,000.00”. If you choose to abandon part of your claim you cannot sue for that part later.

Are you asking for something besides money (e.g. recovery of goods)? If so, fill that in and show the value but do not add the dollar amount for that part of the Total Claimed.

OF CLAIM

name, address number of ADDRESS or making the is the for service.

CITY, TOWN, COMMUNITY TERRITORY/PROVINCE

NAME name, address number of

ADDRESS or the claim is

CITY, TOWN, COMMUNITY TERRITORY/PROVINCE

led to the claim.

Check box if section is continued on an ADDITIONAL

WHEN? this happened. Tell

CITY, TOWN, COMMUNITY

a. is being claimed defendant(s). If b. is made up of separate c. and show the for each part. d. amounts and total claimed. e.

f.

g.

h.

i.

j.

Check box if section is continued on an ADDITIONAL

TIME LIMIT FOR A DEFENDANT TO FILE STATEMENT OF DEFENCE The defendant must complete and file the attached STATEMENT OF DEFENCE (Form 2) within 25 days from being served with this notice (30 days if the service of the STATEMENT OF CLAIM is outside the Northwest Territories), unless the defendant settles this claim directly with the claimant. If the defendant does not file a STATEMENT OF DEFENCE within the required time, a court order may be made against the defendant without any further notice to the defendant. Then the defendant will have to pay the amount claimed plus interest and further expenses. The Court Address for filing documents is:

Yellowknife Territorial Court 4903 49th Street Box 550 Yellowknife, NT X1A 2N4

Signature for Plaintiff Date

Date: Issued by:

(Clerk of the Territorial Court)

R-154-2018,s.9.

FORM 2—STATEMENT OF DEFENCE

DEFENDING AGAINST A CLAIM (Paragraphs 3(8)(c), 5(2)(a) and 6(1)(a))

What are a defendant’s options?

FROM: A defendant who receives a STATEMENT OF This is where you identify the defendant who is filing this STATEMENT CLAIM may do any one or more of the following: OF DEFENCE. Please give an address that is suitable for personal a. oppose all or part of the claim by listing service. Please do not use a post office box. You must be sure that the reasons why the claim is opposed; address you give is correct because this is where the Territorial Court b. admit all or part of the claim; registry will send any further notices or information to you. If your c. make a counterclaim against the plaintiff address changes, you must submit a CHANGE OF ADDRESS (Form 4) to under rule 6; the registry. d. pay the amount claimed directly to the plaintiff or into Territorial Court under subrule 22(21) and ask the plaintiff to

DISPUTE: discontinue the STATEMENT OF CLAIM List the reasons why you oppose the claim. You do not need to tell under subrule 22(22); everything about your defence here. You must tell just enough to e. make an offer to settle under rule 14; indicate to the plaintiff and the Territorial Court what parts of the claim f. admit all or part of the claim and propose a you dispute and why. Look at the “How Much” section of the payment schedule. STATEMENT OF CLAIM. If the claim has more than one part—a, b, c, and so on—then you should defend against each part separately, using

STEP 1 the same letters. If there is anything in the STATEMENT OF CLAIM that COMPLETE the STATEMENT OF DEFENCE. To you agree with, be sure to include that here. complete this form, type or print clearly.

AGREEMENT WITH THE STATEMENT OF CLAIM: If you admit all or part of the STATEMENT OF CLAIM, and if you are STEP 2 proposing a payment schedule, try to make it a reasonable one. If the FILE the STATEMENT OF DEFENCE by taking or plaintiff agrees with your proposal, the plaintiff may file a CONSENT mailing it to the Territorial Court registry. If you ORDER. If the plaintiff agrees to the amount but not the terms for the are making a counterclaim, you must also provide payment, the plaintiff may request a PAYMENT HEARING to ask the the required filing fee. The staff will check the Court to set a payment schedule. You will be asked about your financial form and if it is in order, accept it for filing. The circumstances and expected to provide supporting documents. STATEMENT OF DEFENCE must be filed in the registry within the time limit shown on the

COUNTERCLAIM:

STATEMENT OF CLAIM. If you have a counterclaim, you must tell just enough to let the plaintiff know what your counterclaim is about.

If your counterclaim is made up of several parts, separate them here and show the amount you are claiming for each part.

STEP 3 For example, The Territorial Court registry will send a copy of a. Amount owing on unpaid invoice $_____________ the STATEMENT OF DEFENCE to the plaintiff and b. Interest under the contract $_____________ in most cases set a date for a settlement The plaintiff might agree with part of your counterclaim if you show its conference. You will receive a notice telling you separate parts. the date and location of the conference. Some cases will go directly to trial and you will receive The most you may claim in the Territorial Court is $35,000.00, including notice telling you the date and location. the amount of money claimed AND the value of any goods or services claimed. This does not include interest and expenses.

If your counterclaim is for more than $35,000.00 and you wish to file in STEP 4 Territorial Court, just say in this section “I am abandoning the amount When the date is set, you can prepare for the over $35,000.00”. If you choose to abandon part of your counterclaim conference or trial. you cannot sue for that part later.

Are you asking for something besides money (e.g. recovery of goods)? If so, fill that in and show the value but do not add the dollar amount for that part of the Total Claimed.

ADDRESS

CITY, TOWN, COMMUNITY TERRITORY/PROVINCE

NAME

ADDRESS

CITY, TOWN, COMMUNITY TERRITORY/PROVINCE

a.

b.

c.

d.

Check box if section is continued on an ADDITIONAL

OF CLAIM: I,

(NAME)

(YOU SHOULD ONLY FILL OUT THIS PART OF THE FORM

Check box if section is continued on an ADDITIONAL If the b.

claimed. e.

f.

g.

h.

i.

j.

Check box if section is continued on an ADDITIONAL

TIME LIMIT FOR A DEFENDANT BY COUNTERCLAIM TO OF DEFENCE TO COUNTERCLAIM must be filed within 25 days OF DEFENCE with counterclaim is outside the Northwest Territories), claimant. If the defendant by counterclaim does not file a STATEMENT may be made against the defendant by counterclaim without any by counterclaim will have to pay the amount claimed plus interest Address for filing documents is:

Yellowknife Territorial Court 4903 49th Street Box 550 Yellowknife, NT X1A 2N4

FORM 3—AFFIDAVIT OF SERVICE

OR ATTEMPTED SERVICE

I,

(NAME)

of

(ADDRESS) make oath and say that:

□ I attempted to serve

□ I served □ I personally served

(NAME) on

(DATE) at

with □ a copy of the STATEMENT OF

□ a blank STATEMENT OF DEFENCE

□ copies of other supporting documents □ a copy of the SUMMONS TO A affidavit, □ a copy of the SUMMONS TO A affidavit,

□

by

SWORN BEFORE ME at

(Community)

Northwest Territories, on

(Month) (Day)

(Signature of Commissioner for Oaths or Notary

(Print Name of Commissioner for Oaths or Notary

Stamp of Commissioner for Oaths or Notary affidavit must be sworn before a person authorized under section 67

FORM 4—CHANGE

OF ADDRESS

COURT OF THE NORTHWEST TERRITORIES

NAME address number from the ADDRESS

CLAIM.

CITY, TOWN, COMMUNITY TERRITORY/PROVINCE

NAME address number of from the ADDRESS

CLAIM.

CITY, TOWN, COMMUNITY TERRITORY/PROVINCE

address NAME number of named in ADDRESS

NOTICE,

CITY, TOWN, COMMUNITY TERRITORY/PROVINCE

and I, address

(NAME) wish to notify the Territorial Court and the other parties

ADDRESS

CITY, TOWN, COMMUNITY TERRITORY/PROVINCE

date. This change is effective as of:

print name

Signature

FORM 5—CONSENT

ORDER

TERRITORIAL COURT OF THE NORTHWEST TERRITORIES

NAME name, address number of from the ADDRESS

OF CLAIM.

CITY, TOWN, COMMUNITY TERRITORY/PROVINCE

NAME name, address number of from the ADDRESS

OF CLAIM.

CITY, TOWN, COMMUNITY TERRITORY/PROVINCE

name, address NAME number of party named in ADDRESS

PARTY NOTICE,

CITY, TOWN, COMMUNITY TERRITORY/PROVINCE

NAME

name of the PARTY

DATE

terms of the Set out all agreed on. full amount of to be paid and dates). Show or how it is Specify what if a payment is

Check box if section is continued on an ADDITIONAL Date

Date

Date

FORM 6—NOTICE OF SETTLEMENT

CONFERENCE

OF THE NORTHWEST TERRITORIES

NAME

ADDRESS

CITY, TOWN, COMMUNITY TERRITORY/PROVINCE

NAME

ADDRESS

CITY, TOWN, COMMUNITY TERRITORY/PROVINCE

NAME

ADDRESS

CITY, TOWN, COMMUNITY TERRITORY/PROVINCE

will be held on

at Time

at

authority to settle the claim.

and other things. If a party has not prepared reasonable expenses of the other parties.

Rules rule 9 generally and in particular subrule attend? be dismissed or the judge can make an order

Date

FORM 7—STATEMENT OF DEFENCE TO COUNTERCLAIM

STATEMENT OF DEFENCE TO COUNTERCLAIM (Paragraph 6(4)(a))

What are the options of a defendant by counterclaim? A plaintiff (defendant by counterclaim) who receives a STATEMENT OF DEFENCE with a COUNTERCLAIM may do any one or more of the following: a. oppose all or part of the COUNTERCLAIM by listing FROM: reasons why the counterclaim is opposed; This is where you identify the plaintiff (defendant by counterclaim) b. admit all or part of the counterclaim; who is filing this STATEMENT OF DEFENCE TO COUNTERCLAIM. Fill in c. pay the amount claimed directly to the plaintiff by the address from the STATEMENT OF CLAIM. counterclaim or into Territorial Court under subrule 22(21) and ask the plaintiff by counterclaim to discontinue the STATEMENT OF DEFENCE with COUNTERCLAIM under subrule 22(22); d. make an offer to settle under rule 14; e. admit all or part of the counterclaim and propose a payment schedule.

STEP 1

COMPLETE the STATEMENT OF DEFENCE TO COUNTERCLAIM. To complete this form, type or print clearly.

STEP 2 DISPUTE: List the reasons why you oppose the counterclaim. You do not need to FILE the STATEMENT OF DEFENCE TO COUNTERCLAIM by tell everything about your defence here. You must tell just enough to taking or mailing it to the Territorial Court registry. The indicate to the plaintiff by counterclaim and the Territorial Court what staff will check the form and if it is in order, accept it for parts of the claim you dispute and why. Look at the “How Much” filing. The STATEMENT OF DEFENCE TO COUNTERCLAIM section of the COUNTERCLAIM. If the claim has more than one part—a, must be filed in the registry within the time limit shown b, c, and so on—then you should defend against each part separately, on the STATEMENT OF DEFENCE with COUNTERCLAIM. using the same letters. If there is anything in the COUNTERCLAIM that you agree with, be sure to include that here.

STEP 3

The Territorial Court registry will send a copy of the Note: STATEMENT OF DEFENCE TO COUNTERCLAIM to the A plaintiff (defendant by counterclaim) may not include a counterclaim defendant (plaintiff by counterclaim) and in most cases in a STATEMENT OF DEFENCE TO COUNTERCLAIM. set a date for a settlement conference. You will receive a notice telling you the date and location of the conference. Some cases will go directly to trial and you will receive notice telling you the date and location.

STEP 4

When the date is set, you can prepare for the conference or trial.

TO COUNTERCLAIM

ADDRESS

CITY, TOWN, COMMUNITY TERRITORY/PROVINCE

NAME

ADDRESS

CITY, TOWN, COMMUNITY TERRITORY/PROVINCE

a.

b.

c.

d.

Check box if section is continued on an ADDITIONAL

A IM: I,

(NAME)

Signature for

FORM 8—THIRD PARTY NOTICE

MAKING A THIRD PARTY CLAIM (Paragraphs 7(1)(a) and (2)(a))

What a defendant may do: A defendant who files a STATEMENT OF DEFENCE State the address for the plaintiff and your address from the and thinks that another person should pay all or

STATEMENT OF CLAIM. part of a claim in the STATEMENT OF CLAIM may make a claim against that person by completing a State the address of the third party. Are you sure you have used the THIRD PARTY NOTICE under rule 7. proper name?

If a settlement conference regarding the matter has already been held, a defendant needs to apply to a judge to be allowed to complete a THIRD

PARTY NOTICE.

WHAT HAPPENED? You do not need to tell everything about your third party claim here. You must tell just enough to indicate to the third party and the Territorial Court what the claim is about. Keep your description brief.

STEP 1 COMPLETE the THIRD PARTY NOTICE. To complete this form, type or print clearly.

STEP 2 FILE the THIRD PARTY NOTICE by taking or mailing it to the Territorial Court registry. You must also HOW MUCH? provide the required filing fee. The staff will check If your claim against the third party is made up of several parts, the form and if it is in order, accept it for filing, separate them here and show the amount you are claiming for each apply the registry stamp and return the copies you part. need for your records and for serving the third For example, party. a. Amount owing on unpaid invoice $_____________ b. Interest under the contract $_____________ The third party might agree with part of the third party claim if you show its separate parts.

STEP 3 The most you may claim in the Territorial Court is $35,000.00, including PERSONALLY SERVE the third party with copies of the amount of money claimed AND the value of any goods or services all of the following: claimed. This does not include interest and expenses. a. THIRD PARTY NOTICE; b. STATEMENT OF CLAIM; Is the claim for something besides money (e.g. recovery of goods)? If c. STATEMENT OF DEFENCE; so, fill that in and show the value but do not add the dollar amount for d. NOTICE OF SETTLEMENT CONFERENCE if that part of the Total Claimed. applicable; e. blank STATEMENT OF DEFENCE TO THIRD

PARTY NOTICE (FORM 9). The purpose is to be sure the third party knows they are being sued and what the case is about.

STEP 4

FILE an AFFIDAVIT OF SERVICE (Form 3) within 30 days after filing the THIRD PARTY NOTICE.

PARTY NOTICE

NAME name, address number of ADDRESS from the

OF CLAIM.

CITY, TOWN, COMMUNITY TERRITORY/PROVINCE

NAME name, address number of ADDRESS from the

OF CLAIM.

CITY, TOWN, COMMUNITY TERRITORY/PROVINCE

NAME name, address number of ADDRESS or business defendant thinks all or part of made against

CITY, TOWN, COMMUNITY TERRITORY/PROVINCE

led to the claim.

Check box if section is continued on an ADDITIONAL party. If the b.

claimed. e.

f.

g.

h.

i.

j.

Check box if section is continued on an ADDITIONAL

TIME LIMIT FOR A DEFENDANT TO FILE STATEMENT OF DEFENCE TO THIRD PARTY NOTICE must be filed within PARTY NOTICE is outside the Northwest Territories), unless the third If the third party does not file a STATEMENT OF DEFENCE TO against the third party without any further notice to the third party. further expenses. Address for filing documents is:

Yellowknife Territorial Court 4903 49th Street Box 550 Yellowknife, NT X1A 2N4

FORM 9—STATEMENT OF DEFENCE TO THIRD PARTY NOTICE

DEFENDING AGAINST A THIRD PARTY NOTICE (Paragraphs 7(4)(b) and (7)(a))

What are a third party’s options? A person who receives a THIRD PARTY CLAIM may State the address for the plaintiff and the defendant from the do any one or more of the following:

STATEMENT OF CLAIM. a. oppose all or part of the third party claim by listing reasons why the claim is opposed; State your address. You must be sure that the address you give is b. admit all or part of the claim; correct because this is where the Territorial Court registry will send any c. make a counterclaim against the plaintiff further notices or information to you. If your address changes, you under rule 6; must submit a CHANGE OF ADDRESS (Form 4) to the registry. d. pay the amount claimed directly to the plaintiff or into Territorial Court under subrule 22(21) and ask the plaintiff to

DISPUTE: discontinue the STATEMENT OF CLAIM List the reasons why you oppose the third party claim. You do not need under subrule 22(22); to tell everything about your defence here. You must tell just enough e. make an offer to settle under rule 14; to indicate to the parties and the Territorial Court what parts of the f. admit all or part of the claim and propose a claim you dispute and why. Look at the “How Much” section of the payment schedule. THIRD PARTY NOTICE. If the claim has more than one part—a, b, c, and so on—then you should defend against each part separately, using the

STEP 1 same letters. If there is anything in the THIRD PARTY NOTICE that you COMPLETE the STATEMENT OF DEFENCE TO agree with, be sure to include that here. THIRD PARTY NOTICE. To complete this form, type or print clearly.

AGREEMENT WITH THE THIRD PARTY NOTICE: If you admit all or part of the THIRD PARTY NOTICE, and if you are proposing a payment schedule, try to make it a reasonable one. If the STEP 2 plaintiff agrees with your proposal, the plaintiff may file a CONSENT FILE the STATEMENT OF DEFENCE TO THIRD ORDER. If the plaintiff agrees to the amount but not the terms for the PARTY NOTICE by taking or mailing it to the payment, the plaintiff may request a PAYMENT HEARING to ask the Territorial Court registry. If you are making a Court to set a payment schedule. You will be asked about your financial counterclaim, you must also provide the required circumstances and expected to provide supporting documents. filing fee. The staff will check the form and if it is in order, accept it for filing. The STATEMENT OF DEFENCE TO THIRD PARTY NOTICE must be filed in COUNTERCLAIM: the registry within the time limit shown on the If you have a counterclaim against the plaintiff, you must tell just THIRD PARTY NOTICE. enough to let the plaintiff know what your counterclaim is about.

If your counterclaim is made up of several parts, separate them here and show the amount you are claiming for each part. For example,

STEP 3 a. Amount owing on unpaid invoice $_____________ The Territorial Court registry will send a copy of b. Interest under the contract $_____________ the STATEMENT OF DEFENCE TO THIRD PARTY The plaintiff might agree with part of your counterclaim if you show its NOTICE to the parties. You will receive a notice separate parts. telling you the date and location of the settlement conference if one is set and you did not receive a The most you may claim in the Territorial Court is $35,000.00, including notice with the THIRD PARTY CLAIM. Some cases the amount of money claimed AND the value of any goods or services will go directly to trial and you will receive notice claimed. This does not include interest and expenses. telling you the date and location. If your counterclaim is for more than $35,000.00 and you wish to file in Territorial Court, just say in this section “I am abandoning the amount over $35,000.00”. If you choose to abandon part of your counterclaim you cannot sue for that part later.

STEP 4 Are you asking for something besides money (e.g. recovery of goods)? When the date is set, you can prepare for the If so, fill that in and show the value but do not add the dollar amount conference or trial. for that part of the Total Claimed.

OF DEFENCE TO THIRD PARTY NOTICE

NAME address number of ADDRESS the

CLAIM.

CITY, TOWN, COMMUNITY TERRITORY/PROVINCE

NAME address number of ADDRESS from the

CLAIM

CITY, TOWN, COMMUNITY TERRITORY/PROVINCE

NAME address number of ADDRESS from the

NOTICE.

CITY, TOWN, COMMUNITY TERRITORY/PROVINCE

a. claimed If the b. up of separate c. show the part. d. and claimed. e.

f.

g.

h.

i.

j.

Check box if section is continued on an ADDITIONAL AGREEMENT WITH THIRD PART Y NOTICE: I, agree to pay $

(NAME) ( AMOUNT) If you agree to pay all or part of what is claimed, make a proposal. Give dates and amounts.

COUNTERCLAIM (YOU SHOULD ONLY FILL OUT THIS PART OF THE FORM IF YOU WISH TO MAKE A CLAIM AGAINST THE PLAINTIFF)

WHAT HAPPENED? Briefly tell what has led to your counterclaim.

Check box if section is continued on an ADDITIONAL PAGE (Form 45). Be sure to attach page.

TIME LIMIT FOR A DEFENDANT BY COUNTERCLAIM TO FILE STATEMENT OF DEFENCE TO COUNTERCLAIM The STATEMENT OF DEFENCE TO COUNTERCLAIM regarding a counterclaim contained in a STATEMENT OF DEFENCE TO THIRD PARTY NOTICE must be filed within 25 days from being served with this notice (30 days if the service of the STATEMENT OF DEFENCE TO THIRD PARTY NOTICE is outside the Northwest Territories), unless the defendant by counterclaim settles this claim directly with the third party. If the defendant by counterclaim does not file a STATEMENT OF DEFENCE TO COUNTERCLAIM within the required time, a court order may be made against the defendant by counterclaim without any further notice to the defendant by counterclaim. Then the defendant by counterclaim will have to pay the amount claimed plus interest and further expenses. The Court Address for filing documents is:

Yellowknife Territorial Court 4903 49th Street Box 550 Yellowknife, NT X1A 2N4 Signature for Third Party Date

R-154-2018,s.9.

FORM 10—NOTICE OF DEFAULT

APPLYING FOR DEFAULT JUDGMENT (Paragraph 8(2)(a))

COMPLETE the NOTICE OF DEFAULT. To complete this form, type or print clearly. Are you sure the name(s) you used here are the same as the ones used on the STATEMENT OF CLAIM? It is important to use the correct name(s) otherwise the judgment may not be enforceable.

STEP 2

FILE the NOTICE OF DEFAULT by taking it and proof of service (typically an AFFIDAVIT OF SERVICE (Form 3)) to the Territorial Court registry. You must also provide the After a DEFAULT JUDGMENT is made or a date is set for a hearing, the defendant required filing fee. The staff will examine the documents may not file a STATEMENT OF DEFENCE, COUNTERCLAIM or THIRD PARTY to make sure the STATEMENT OF CLAIM has been NOTICE, without the permission of a judge. properly served. They will then look at your STATEMENT OF CLAIM to see if a hearing is required.

STEP 3

If no hearing is required, the Clerk will prepare and issue a DEFAULT JUDGMENT (Form 11).

If a hearing is required, the Clerk will issue a NOTICE OF HEARING (Form 41) which will set out the date when you are to appear before a judge. At this hearing, the judge will decide the amount of your claim or, if the claim is not for money, the terms of the judgment. You should bring to the hearing any supporting documents or other evidence you want the judge to consider. After reviewing the evidence, the judge will make a DEFAULT JUDGMENT (Form 11) and endorse it.

COMMUNITY TERRITORY/PROVINCE

COMMUNITY TERRITORY/PROVINCE

Date

No hearing is required as the claim is

A hearing is required before a Territorial hearing, the judge will determine the of an appropriate judgment.

in the Territorial Court of the Northwest

at Time

at

Date

FORM 11—DEFAULT

IN THE CASE BETWEEN

NAME

AND

NAME

FILL IN THIS PART IF NO HEARING WAS REQUIRED:

As

has not filed a STATEMENT OF DEFENCE and the the STATEMENT OF CLAIM,

THIS COURT ORDERS THE DEFENDANT TO:

PAY DIRECTLY TO THE PLAINTIFF THE SUM OF

AND

Date

FILL IN THIS PART IF YOU APPEARED IN COURT:

Fill in the name of the The following judgment was made by the Honourable Judge _____________________________of the judge and tell what order Territorial Court of the Northwest Territories on the ____________day of ____________, 20 _____, in the was made. presence of the plaintiff and defendant (or as the case may be), upon hearing the evidence adduced on behalf of the plaintiff and defendant (or as the case may be): State the terms ordered

THIS COURT ORDERS THE DEFENDANT TO: by the judge.

Check box if section is continued on an ADDITIONAL PAGE (Form 45). Be sure to attach page.

PAY DIRECTLY TO THE PLAINTIFF THE SUM OF amount of claim

$ AND granted by Court

+ $ expenses

+ $ interest

= $ AMOUNT

+ $ Filing Fee

= $ TOTAL AMOUNT

The judge will date and sign the DEFAULT Date Judge

JUDGMENT.

FORM 12—AGREEMENT

COURT OF THE NORTHWEST TERRITORIES

NAME address number of

ADDRESS the

CLAIM.

CITY, TOWN, COMMUNITY TERRITORY/PROVINCE

NAME address number of ADDRESS from the

CLAIM.

CITY, TOWN, COMMUNITY TERRITORY/PROVINCE

NAME address number of ADDRESS from the NOTICE, if

CITY, TOWN, COMMUNITY TERRITORY/PROVINCE

THE PARTIES HAVE CONSENTED TO THE FOLLOWING agreement.

of any

be made, and

not comply terms, the an

NON- (Form 15) judge to

Check box if section is continued on an ADDITIONAL Date

agreement is filed Territorial Court following a Date Conference, it be dated and by the judge. If it is any other case, it be dated and by a clerk.

FORM 13—SETTLEMENT CONFERENCE

CONFERENCE RECORD

TERRITORIAL COURT OF THE NORTHWEST TERRITORIES

IN THE CASE BETWEEN

name of the NAME from the

OF CLAIM.

AND

name of the NAME named in the

OF CLAIM.

AND

name of the named in the NAME NOTICE, if

JUDGE

on

day month

NA

NA

NA

NA

NA

NA Party(s)

NA

NA

NA

SETTLEMENT BY CONSENT DISMISSAL ORDER

see attached AGREEMENT After discussion

_____________________

is

discloses

is

is For $ To Plaintiff Defendant

+ Interest at ___________% per annum calculated from _________ 20___ to _________ 20___ dd/mm/yyyy dd/mm/yyyy + Expenses to be assessed

Payment Immediate Schedule

Terms/other orders

Check box if section is continued on an ADDITIONAL PAGE (Form 45). Be sure to attach page.

ADJOURNMENT

for Application/Referral to Court Trial Payment Hearing

Settlement Conference Other

on ________, 20____ at _____ AM

PM or Date to be fixed by registry (notice to be sent to all parties)

Number of witnesses Plaintiff Defendant Expert Interpreter (party to arrange)

Estimated time required Hours

Agreed facts and outstanding issues:

Check box if section is continued on an ADDITIONAL PAGE (Form 45). Be sure to attach page.

DOCUMENT EXCHANGE ORDER

The parties must exchange a copy of all documents relevant to this action, including those listed in the attachment by ___________________, 20_____ and bring 2 copies to the next court appearance.

All parties must exchange any case law they intend to use by _________________________, 20 ______.

DISCLOSURE OF EVIDENCE ORDER

Each party must provide each other party with the name, address and telephone number and a summary of evidence of all witnesses the party intends to call as a witness at trial, including any expert witness by ___________________, 20 ______.

Plaintiff’s signature Defendant’s signature Third Party’s signature, if any Judge’s signature

FORM 14—NOTICE

OF THE NORTHWEST TERRITORIES

IN THE CASE BETWEEN

NAME

AND

NAME

AND

NAME

Territorial Court of the Northwest Territories

at Time

at

Date

FORM 15—AFFIDAVIT OF

OF THE NORTHWEST TERRITORIES

IN THE CASE BETWEEN

NAME

AND

NAME

AND

NAME

I, ________________________________________,

(NAME)

____________________________________ , MAKE

(ADDRESS)

1. I am the Plaintiff

Defendant

Third Party

in this action and this is my affidavit in support judgment.

2. I have personal knowledge of the facts referred information and belief, and where so stated

3. An agreement was made and recorded at

4. The Plaintiff

Defendant

Third Party

failed to comply with the recorded terms of Check box if section is continued on an ADDITIONAL

SWORN BEFORE ME at

(Community)

Northwest Territories, on

(Month) (Day)

(Signature of Commissioner for Oaths or Notary

(Print Name of Commissioner for Oaths or Notary

Stamp of Commissioner for Oaths or Notary Public

sworn before a person authorized under section 67

FORM 17—WARRANT FOR ARREST

(Subrules 12(4), 16(18), 17(10) and 18(1))

WARRANT FOR ARREST REGISTRY FILE NO.

REGISTRY LOCATION

IN THE CASE BETWEEN W

A

NAME R

PLAINTIFF(S)

R

A

N

AND T

F

O

R

NAME DEFENDANT(S)

A

R

R

E

S

T

TO: ALL PEACE OFFICERS WITHIN THE NORTHWEST TERRITORIES

The Territorial Court orders you to arrest, anywhere in the Northwest Territories, _______________________________ (Name of person to be arrested) of ________________________________________________ , and without delay, bring the person before a judge or justice. (Address of the person)

The reason for the arrest is the person did not attend this Court at or as soon after this time as the Territorial at __ M Court schedule allows. Date Time

at Location of Trial

as required by: a Notice to Attend a Summons to Payment Hearing a Summons to Default Hearing an order of a judge or justice

DATED at ___________________________________, Northwest Territories, on __________________, 20 ______ .

This warrant remains in force for 12 months from the date it was issued.

Judge or Justice

Execution of Warrant

This warrant was executed

This __________day of ______________ Police Officer Date

20___, at _________________________

in the Northwest Territories. Location or Detachment

R-154-2018,s.9.

FORM 17A—REMAND

OF THE NORTHWEST TERRITORIES

IN THE CASE BETWEEN

NAME

AND

NAME

The following order was made by

of the Territorial Court of the Northwest Territories

To the Peace Officers in the Northwest Territories,

I order you to convey to any common jail in

who failed to appear in the Territorial Court,

_______________________ at __________________________,

Date

to be dealt with according to the Civil Claims

And to the keeper of said prison, I order you her safely until the day when his or her remand of the Territorial Court or any other justice.

Date

FORM 18—RECOGNIZANCE

COURT OF THE NORTHWEST TERRITORIES

IN THE CASE BETWEEN

NAME

AND

NAME

I, _______________________________________ , of __________________________________

(NAME) Territories, pledge the amount of $ __________________________________

that will be immediately deposited in full with a clerk of the court

that will not need to be deposited with a clerk of the court and I understand or more of my sureties may be asked to pay the amount above.

that if I do not follow the conditions, I may be found in contempt

the conditions listed below:

Check box if section is continued on an ADDITIONAL PAGE (Form 45). Be

Date

________________________________________________________

the pledge amount has been deposited with the Clerk of

The sureties have signed this RECOGNIZANCE.

if the court requires sureties.

each surety agrees to become indebted in the same way as on this form.

name and address

name and address

Date

FORM 19—OFFER

TO SETTLE

TERRITORIAL COURT OF THE NORTHWEST TERRITORIES

IN THE CASE BETWEEN

name of the NAME from the

OF CLAIM.

AND

name of the NAME named in the

OF CLAIM.

AND

name of the NAME named in the NOTICE, if

OFFER TO SETTLE

The plaintiff(s) or defendant(s) or third party ___________________________________________

of the offer amount of and when they made. Use sheet if

Check box if section is continued on an ADDITIONAL

TIME LIMIT FOR AN OFFER

An OFFER TO SETTLE may be made up to 30 days after the conclusion of a settlement conference, or later if permitted by a judge. A party who receives an offer has 28 days after being served with the offer to accept the offer. No response will be considered a rejection.

ACCEPTANCE OF OFFER

To accept the OFFER TO SETTLE, the party must complete an ACCEPTANCE OF OFFER TO SETTLE (Form 20) and serve the other party within 28 days of being served with the offer.

FILING OFFER AND ACCEPTANCE

If a party served with an ACCEPTANCE OF OFFER TO SETTLE files the offer and the acceptance in the Territorial Court registry, the acceptance becomes a PAYMENT ORDER.

NOTICE OF PENALTY

A trial judge may order a party to pay a penalty if the offer to settle has been rejected. A penalty is in addition to any other expenses and may be up to 20% of the amount of the offer to settle.

Date Signature of Party Making Offer

FORM 20—ACCEPTANCE

TO SETTLE

OF THE NORTHWEST TERRITORIES

IN THE CASE BETWEEN

NAME

AND

NAME

AND

NAME

ACCEPTANCE OF OFFER TO SETTLE

The plaintiff(s) or defendant(s) or third party ___________________________________________

accepts the OFFER TO SETTLE served on the __________day

Date

TIME LIMIT FOR AN OFFER

A party who receives an OFFER TO SETTLE offer. No response will be considered

ACCEPTANCE OF OFFER

To accept the offer to settle, the party the other party within 28 days of being

FILING OFFER AND ACCEPTANCE

If a party served with an ACCEPTANCE Territorial Court registry, the acceptance

Date

FORM 21—PAYMENT

ORDER

COURT OF THE NORTHWEST TERRITORIES

IN THE CASE BETWEEN

address NAME number of the ADDRESS

CLAIM.

CITY, TOWN, COMMUNITY TERRITORY/PROVINCE

AND

address NAME number of named in ADDRESS

OF

CITY, TOWN, COMMUNITY TERRITORY/PROVINCE

AND

address NAME number of named in ADDRESS

NOTICE,

CITY, TOWN, COMMUNITY TERRITORY/PROVINCE

check On ___________________________________

Settlement Conference, where ____________________________

Payment Hearing

Trial

Other _______________________________________________________________ the order was The following order was made by by whom.

of the Northwest Territories on

ordered TO of money, fill of the to pay party to whom is to be made.

box. immediately

in accordance with the following

ordered by or before a say what to be paid and

judge ordered THIS COURT ORDERS other than of money?

will date and sign Date

FORM 22—WRIT OF EXECUTION

(Subrule 15(12))

WRIT OF EXECUTION

REGISTRY LOCATION

NAME W Fill in name, address and CREDITOR telephone number of the R

ADDRESS I creditor. T

O

F

E

X

E

C

CITY, TOWN, COMMUNITY TERRITORY/PROVINCE POSTAL CODE TELEPHONE

U

T

I

O Fill in name, address and NAME DEBTOR N telephone number of the debtor. ADDRESS

CITY, TOWN, COMMUNITY TERRITORY/PROVINCE POSTAL CODE TELEPHONE

To the Sheriff:

You are ordered to execute on the goods or lands of the named debtor(s) in the Northwest Territories as follows:

(a) Amount of judgment issued by this Court on _____ day of

___________, 20____ against the debtor in favour of the $

creditor;

(b) Costs taxed to creditor; (or as the case may be) in respect of

- $ the judgment;

(c) Interest at the legal rate on the sums set out in

+ $ paragraph (a) and (b) from the day the judgment was

(d) Any costs subsequent to judgment together with interest on

+ $ that amount using the rate of interest used in paragraph (c).

TOTAL AMOUNT DUE TO THE CREDITOR

= $ at the date this order is issued  From the proceeds of the sale deduct and pay the amounts payable to secured creditors and the debtor as is required under the Creditors Relief Act.  From the balance, pay to the creditor the total amount due to the creditor.  Then pay any balance remaining after that to the debtor .

Check box if section is continued on an ADDITIONAL PAGE (Form 45). Be sure to attach page.

The Clerk will date and sign this form. Date Clerk

R-105-2019,s.5. NOTE: Only the Sheriff, a deputy Sheriff or Sheriff’s bailiff may execute this Writ and seize goods. Anything that the debtor owns jointly with someone else may not be seized.

NOTE: The information contained in this form is presented as an aid to understanding your right to claim an exemption under the legislation. It does not replace the need to consult the Acts or regulations. This information is not a substitute for independent legal advice. If there is any conflict between legislation and this information, the legislation must prevail.

Excerpts from the Exemptions Act

2. (1) Subject to sections 5 and 6, the following property of a debtor is, subject to any prescribed limits, exempt from seizure under a writ of execution: (a) household furnishings, utensils, equipment and appliances needed by the debtor and any dependants to reasonably maintain a functional household; (b) necessary and ordinary clothing of the debtor and any dependants; (c) food, fuel and other necessaries of life required by the debtor and any dependants; (d) tools, instruments, books and other personal property, other than a motor vehicle, ordinarily used by the debtor in his or her business, profession, trade or occupation; (e) tools, instruments, all-terrain vehicles as defined in subsection 1(1) of the All-terrain Vehicles Act, watercraft and other personal property, other than a motor vehicle, ordinarily used and needed by the debtor in hunting, trapping or fishing for food; (f) any interest in the principal residence of the debtor, to the extent of that interest; (g) medical and dental aids that are required by the debtor or any dependants; (h) one motor vehicle.

(2) Money paid or payable to a debtor pursuant to a legal entitlement for compensation resulting from mental or physical harm suffered by the debtor, other than money paid or payable as compensation for wages or salary owed, is exempt from seizure under a writ of execution or writ of attachment or by a garnishee proceedings.

(3) Money paid or payable to a debtor as assistance provided to the debtor and any dependants under the Social Assistance Act is exempt from seizure under a writ of execution or writ of attachment or by a garnishee proceedings.

(4) This section does not apply (a) if the debtor has absconded or appears to be preparing to abscond from the Northwest Territories, leaving no dependants in the Territories; or (b) to a writ of execution issued on (i) a judgment or order for the payment of support, or (ii) a judgment on a domestic contract, as defined in section 2 of the Family Law Act.

5. (1) Property of a debtor exempted under this Act, or proceeds of the sale of such property, is exempt from seizure and the claims of creditors of the debtor after his or her death.

(2) Surviving dependants are entitled to retain the property or the proceeds of its sale as referred to in subsection (1).

6. (1) A debtor may select, from his or her property, the property that is to be exempt from seizure under this Act.

(2) If the debtor is deceased, the selection referred to in subsection (1) may be made by (a) a surviving dependant; (b) a person who has lawful custody of a surviving dependant; or (c) a guardian of a surviving dependant.

SHERIFF:

to levy the sum of $___________, $___________ being the damages, and the sum of $___________ being taxed costs, at ___________% per year on both sums from the of ___________, 20_____, and the sum of $___________ Writ;

the event only of the moneys being made of the lands of the for the additional costs of that execution, the further sum of

.

in addition, the amount of costs subsequent to the that are payable by the judgment debtor to the creditor

.

other charges here)

best of the knowledge, information and belief of the creditor, full name of the debtor is

occupation of the debtor is

residence of the debtor is

REGISTRAR OF LAND TITLES:

that the document within is a true copy of a Writ of against lands together with all endorsements on it, which now in my hands to be executed and was issued out of the Court of the Northwest Territories and received by me at or pm on this _______day of _____________, 20____.

at ________________________________________________, Territories, on this _______day of _____________,

R-105-2019,s.5.

FORM 23—SUMMONS TO PAYMENT HEARING

TO SUMMON A PERSON TO PAYMENT HEARING (Paragraph 16(3)(a))

COMPLETE the SUMMONS TO PAYMENT HEARING. To complete this form, type or print clearly.

STEP 2 The purpose of a payment hearing is to allow a judge to  assess the debtor’s ability to pay; and FILE the SUMMONS TO PAYMENT HEARING by taking it to  consider whether a payment schedule should be ordered. the Territorial Court registry. The staff will tell you the hearing date. Then they will check the form and, when it is accepted for filing, apply the registry stamp and return the copies you need for your records and for serving on the person named in the summons.

STEP 3

PERSONALLY SERVE the party named in the summons with a copy of the summons at least seven days before the hearing date. The purpose is to be sure the person knows about the requirement to come to court. You should bring your completed AFFIDAVIT OF SERVICE (Form 3) to court with you.

STEP 4

THEN the person named must appear on the hearing date. If the person does not appear, a warrant for arrest of the person may be issued. You can require the person to bring documents and other things that relate to:  the income and assets of the debtor;  the debts owed to and by the debtor;  any income and assets that the debtor has disposed of since the cause of action arose;  the means that the debtor has, or may have in the future, of paying the amount owed;  any other subject concerning the payment of the amount owed that the judge may allow.

TO PAYMENT HEARING

NAME

name and

ADDRESS and telephone of the person you to come to Court.

CITY, TOWN, COMMUNITY TERRITORY/PROVINCE

IN THE CASE BETWEEN

name of the NAME

AND

name of the NAME

required to attend the Territorial Court of the Northwest Territories

at Date Time

at

required to bring the following documents and other things:

you want the bring.

Check box if section is continued on an ADDITIONAL

amount the creditor claims against you:

interest, use an (a) Total Amount of Judgment

PAGE (b) Less any payments to creditor showing your (c) Amount remaining due Be sure to (d) Interest (calculated to date below) (e) Creditor’s expenses allowed by the Court Amount due to the creditor

Check box if section is continued on an ADDITIONAL What happens at the payment hearing? Evidence may be heard about any of the following: a. the income and assets of the debtor; b. the debts owed to and by the debtor; c. any assets that the debtor has disposed of since the claim arose; d. the means that the debtor has, or may have in the future, of paying the amount owed.

Can the Summons be cancelled? Any person who is served with a SUMMONS TO PAYMENT HEARING may apply to a judge who may a. cancel the SUMMONS TO PAYMENT HEARING if the person is not the right person to provide the information on behalf of the debtor; and b. issue a new SUMMONS TO PAYMENT HEARING to someone who is the right person to provide the information.

What happens if you do not attend? A judge may issue a WARRANT OF ARREST for your arrest.

This SUMMONS has no effect unless signed and Date Judge or Clerk of the Territorial Court dated by a judge or a clerk of the Territorial Court.

FORM 24—NOTICE OF PAYMENT HEARING

TO GIVE NOTICE OF A PAYMENT HEARING (Paragraph 16(10)(a))

COMPLETE the NOTICE OF PAYMENT HEARING. To complete this form, type or print clearly.

STEP 2 The purpose of a payment hearing is to allow a judge to  assess the debtor’s ability to pay; and FILE the NOTICE OF PAYMENT HEARING by taking it to the  consider whether a payment schedule should be ordered. Territorial Court registry. The staff will tell you the hearing date. Then they will check the form and, when it is accepted for filing, apply the registry stamp and return the copies you need for your records and for serving on the creditor.

STEP 3

PERSONALLY SERVE the creditor with a copy of the summons at least 14 days before the hearing date. The purpose is to be sure the creditor knows about the payment hearing. You should bring your completed AFFIDAVIT OF SERVICE (Form 3) to court with you.

STEP 4

THEN the payment hearing takes place. If the creditor does not attend the payment hearing, the judge may hold the payment hearing or cancel or adjourn it.

HEARING

NAME

ADDRESS

CITY, TOWN, COMMUNITY TERRITORY/PROVINCE

NAME

ADDRESS

CITY, TOWN, COMMUNITY TERRITORY/PROVINCE

be held in the Territorial Court of the Northwest

at Time

at

What happens at the payment hearing? Evidence may be heard about any of the a. the income and assets of the b. the debts owed to and by the c. any assets that the debtor has d. the means that the debtor has,

The judge may order a payment schedule a. the date by which the debt must b. the amounts and dates of installments.

What happens if a creditor does not attend the The judge may hold the hearing, cancel

Date

FORM 25—SUMMONS TO

TO DEFAULT HEARING

TERRITORIAL COURT OF THE NORTHWEST TERRITORIES

NAME

name, address ADDRESS number of you are to come to Court.

CITY, TOWN, COMMUNITY TERRITORY/PROVINCE

IN THE CASE BETWEEN

names of all the NAME shown on the

AND

NAME

required to attend the Territorial Court of the Northwest Territories

at Date Time

at

required to bring to the default hearing a completed and up-to-date and other things:

you want the bring.

Check box if section is continued on an ADDITIONAL

of JUDGMENT I certify that the debtor named in the attached and sign.

Date What happens at a default hearing? At a default hearing, the judge may a. confirm the terms of a payment schedule or other order; b. change the terms of a payment schedule or other order in any manner that the judge thinks is fair to the debtor and the creditor; or c. cancel the payment schedule.

What happens if you do not attend? The judge may issue a WARRANT OF ARREST for your arrest.

This SUMMONS has no effect unless signed and Date Judge or Clerk of the Territorial Court dated by a judge or a clerk of the Territorial Court.

FORM 26—STATEMENT OF FINANCES

(Paragraph 17(7)(b))

STATEMENT OF FINANCES

IN THE TERRITORIAL COURT OF THE NORTHWEST TERRITORIES

REGISTRY LOCATION

IN THE CASE BETWEEN S

T

A

T Fill in the name of the NAME CREDITOR

E creditor. M

E

N

AND

T

O Fill in the name of the NAME DEBTOR

F debtor. F

I I, ______________________________________, __________________________________________, state: N (Strike out anything that does not apply to you and initial.) A

N

C

1. I am married / single / other (specify): __________________________; E

S

2. I support and maintain (specify number): _____________ children under 19; _____________ other dependants.

3. Listed below is an accurate “Statement of Finances” of my household.

MONTHLY INCOME MONTHLY EXPENSES

DEBTOR Net Salary $ Rent $ Commissions $ Mortgage $ Tips and Gratuities $ Property Taxes $ Employment Insurance Benefits $ Utilities (heat, water and power) $ Pension $ Phone $ Investments $ Cable TV $ Rentals $ House/Tenant Insurance $ Business Income $ Life Insurance $ Child Tax Benefit $ Food $ Maintenance (if any) $ Restaurant Meals $ Workers’ Compensation $ Sundries and Personal Grooming $ Other $ Clothing $ Laundry & Dry Cleaning $ Pharmaceutical/Medicines $ OTHER HOUSEHOLD Professional/Union Dues $ Income of Spouse/Common-Law Spouse Motor Vehicle living with me $ Lease or Loan $ Income of Children (if any) $ Licence, Insurance, Fuel & Service $ Transportation (public) $ SUBTOTAL $ Newspapers & Subscriptions $ Income Assistance $ Entertainment $

A. INCOME TOTAL $ Alcohol and Tobacco $ Gifts $ Church and Charities $ Maintenance Payments $ Child Care & Babysitting $ School Expenses/Children’s Activities, Lessons $ Other $

B. EXPENSES TOTAL $ continued over →

DEBTS Card(s): (specify)

$

$ Finance Company: (specify)

$

$ Store(s): (specify)

$

$

$

$

$

$

DEBT TOTAL $

need more space for any item on this Statement, attach an and sign it.

Name:

of this form:

have been summonsed to Territorial Court, bring the original of this for you and the other is for the other party.

to bring any documents specifically required by a summons you may

are no documents mentioned in the summons, you should bring the

copies of your last 2 years’ income tax returns  copies accounts if you are not employed, recent proof of the source and amount of your income (such as your 3 most  copies recent EI benefit statements) 6 months

copies of your last 2 months’ utility bills for hydro,  any phone and cable financial

FORM 27—ORDER

TERRITORIAL COURT OF THE NORTHWEST TERRITORIES

IN THE CASE BETWEEN

name of the NAME from the

OF CLAIM.

AND

name of the NAME named in the

OF CLAIM.

AND

name of the NAME named in the NOTICE, if

the order was by whom. The following order was made by

Territorial Court of the Northwest Territories

was ordered.

will be by registry if a party is by counsel,

signed by the is enforceable. copies to all

Check box if section is continued on an ADDITIONAL

Date

FORM 28—WARRANT OF IMPRISONMENT

WARRANT OF IMPRISONMENT REGISTRY FILE NO.

IN THE TERRITORIAL COURT OF THE NORTHWEST TERRITORIES REGISTRY LOCATION

IN THE CASE BETWEEN W

A Fill in the name of the R

R plaintiff from the NAME

PLAINTIFF(S) A

STATEMENT OF CLAIM. N

T

AND O

F Fill in the name of the I

M defendant named in the NAME DEFENDANT(S)

P

STATEMENT OF CLAIM. R

I

S

O

N

M

CANADA,

E

N

NORTHWEST TERRITORIES T

To the peace officers in the Northwest Territories and to the keeper of the ______________________________ at ______________________:

Whereas ____________________________ of _________________________________,

(NAME)

in this Form called the “offender”, was on the ______day of ________, 20 ______, found to have committed the offence of being in contempt of Territorial Court under subrule 23(1) of the Civil Claims Rules and it was

Check box if section is continued on an ADDITIONAL PAGE (Form 45). Be sure to attach page.

You are hereby commanded, in Her Majesty’s name, to arrest the offender if it is necessary to do so in order to take the offender into custody, and to take and convey him or her safely to ___________________________________ at ___________________________ and deliver him or her to its keeper, who is hereby commanded to receive the offender into custody and to imprison him or her there for the term of his or her imprisonment.

Dated this _________day of _____________, 20 _________, at ___________________ .

Judge

R-154-2018,s.9.

FORM 29—GARNISHEE SUMMONS (MAINTENANCE)

(Subparagraphs 19(2)(a)(i))

GARNISHEE SUMMONS (MAINTENANCE) REGISTRY FILE NO.

IN THE TERRITORIAL COURT OF THE NORTHWEST TERRITORIES

REGISTRY LOCATION

NAME G Fill in the name of the RECIPIENT

A recipient. If the recipient is

R the Administrator, use the

N same name as the original I

S Maintenance Order.

H

E

E Fill in the name of the NAME PAYOR

S payor. U

M

M

O Fill in the name of the NAME N

MAINTENANCE GARNISHEE

S person or business that is

( to be garnisheed. M

A

I

N

T

E

N

A

N

C

E

)

TO MAINTENANCE GARNISHEE:

1. THE PAYOR OWES MAINTENANCE PAYMENTS TO THE RECIPIENT under a maintenance order and the recipient has commenced garnishment proceedings to enforce the order (under sections 13 or 14 of the Maintenance Orders Enforcement Act).

The recipient claims that there is or will be money that is payable by you, the garnishee, to the payor named in this GARNISHEE

SUMMONS (MAINTENANCE).

The recipient has directed this GARNISHEE SUMMONS (MAINTENANCE) to you as garnishee in order to seize this money to enforce the payor's maintenance obligation.

2. THIS GARNISHEE SUMMONS BINDS any money as it becomes payable to the payor from time to time after service of this GARNISHEE SUMMONS (MAINTENANCE), up to the amount specified in this GARNISHEE SUMMONS (MAINTENANCE).

3. YOU ARE REQUIRED TO deduct from the wages or other money bound by this GARNISHEE SUMMONS (MAINTENANCE) the sum of $_____________________, every __________________________, to a maximum of $ _______________. (These figures are also to be entered on the WORKSHEET (MAINTENANCE) (Form 33) when it is prepared by the garnishee.)

Holdback Conditions on Employment Insurance (EI), Canada Pension Plan (CPP), Old Age Security (OAS) and National Training Allowance: 50%

Holdback Condition on all other sources: No holdback

Submitter Initials _______________

4. YOU ARE REQUIRED, WITHIN 10 DAYS after deduction, to pay the amounts so deducted to the Territorial Court (using a NOTICE OF PAYMENT INTO TERRITORIAL COURT (Form 43)) or to the Administrator

Yellowknife Registry Hay River Registry Inuvik Registry Administrator

4903 49th St. 201-8 Capital Drive 151 Mackenzie Road Enforcement Program Box 550 Hay River, NT Box 1965 3rd Floor YK Centre East, Yellowknife, NT X0E 1G2 Inuvik, NT #17 - 4915 48th St. X1A 2N4 X0E 0T0 Yellowknife, NT

X1A 3S4

for so long as you continue to make payment to the payor or until this GARNISHEE SUMMONS (MAINTENANCE) is paid in full, terminated, revoked, or replaced by another GARNISHEE SUMMONS (MAINTENANCE) relating to this maintenance obligation.

CHEQUES must be made payable to the Government of the Northwest Territories (regardless of to whom they are paid).

5. YOU ARE REQUIRED TO file with the Territorial Court or the Administrator, as applicable, a GARNISHEE’S STATEMENT (MAINTENANCE) (Form 32), attached to this GARNISHEE SUMMONS (MAINTENANCE) WITHIN 10 DAYS after the day of service of this GARNISHEE

SUMMONS (MAINTENANCE) a. if there is no money currently owing or payable from you to the payor; b. if the money seized is jointly held by the payor and one or more other persons; c. if you do not deduct and forward the required amount(s) under item 3; or d. If you choose to dispute the garnishment for any reason at any time.

{Items 6 and 7 deleted}

6. IF YOU MAKE PAYMENT TO ANY PERSON OTHER THAN AS REQUIRED BY THIS GARNISHEE SUMMONS (MAINTENANCE), YOU MAY BE

REQUIRED TO PAY AGAIN.

7. YOU MUST NOT CHARGE A FEE for receiving or responding to this GARNISHEE SUMMONS (MAINTENANCE).

8 THIS GARNISHEE SUMMONS (MAINTENANCE) HAS PRIORITY over any other GARNISHEE SUMMONS served on you or any other debt owed by the payor to you.

9. IF THIS GARNISHEE SUMMONS (MAINTENANCE) BINDS WAGES AND THE PAYOR CEASES TO BE EMPLOYED BY YOU, you must advise the recipient in writing.

Any party may apply under subrule 21(2) to a judge to determine any matter respecting this GARNISHEE SUMMONS (MAINTENANCE) .

Date: Issued by: (Clerk of the Territorial Court)

Recipient’s address for service: Payor's full name and address, if known:

Telephone: Telephone:

R-154-2018,s.9.

FORM 30—AFFIDAVIT IN SUPPORT OF GARNISHEE SUMMONS (MAINTENANCE)

(Subparagraphs 19(2)(a)(ii) and (b)(ii))

(MAINTENANCE)

REGISTRY LOCATION

IN THE TERRITORIAL COURT OF THE NORTHWEST TERRITORIES

A

F Fill in the name of the NAME RECIPIENT

F recipient. I

D

A

V Fill in the name of the NAME PAYOR

I

T payor from the

GARNISHEE SUMMONS I

N

(MAINTENANCE).

S

U

P Fill in the name of the NAME MAINTENANCE GARNISHEE

P person ora business that O is to be garnisheed. R

T

CANADA ) O

F

NORTHWEST TERRITORIES )

G

TO WIT: )

A

R I, ___________________________________, of _______________________________, Northwest N

(COMMUNITY) I

S

H Territories,_______________________________________________, MAKE OATH AND SAY THAT:

E

(OCCUPATION) E

S

1. I have personal knowledge of the facts referred to in this affidavit except where stated to be on U information and belief, and where so stated I do believe them to be true. M

2. An order for the payment of money in respect of a maintenance order was made on the ____ day of M

__________, 20 ______; AND O

3. To date, the following payments have been received: N

S

( Statement of Arrears (attached as Exhibit “A”) M

A Other details of total owing (attach all relevant documents and list each as an Exhibit, starting

I

N from Exhibit “B” and list them on this form).

T

E

N

A

N

C

E

)

.

Check box if section is continued on an ADDITIONAL PAGE (Form 45). Be sure to attach page.

4. The amount of arrears under the maintenance order is $________________.

5. The amount of the money under the maintenance order that the payor is obliged to pay, including interest of $ ________________, is $________________.

6. I believe that the garnishee named in this GARNISHEE SUMMONS (MAINTENANCE) is, or will become, indebted to the payor, because (i) _______________________________________________ _______________________________________________; and (ii) _______________________________________________

_______________________________________________

_______________________________________________. SWORN BEFORE ME at

(Community)

Northwest Territories, on

(Month) (Day)

(Signature of Commissioner for Oaths or Notary

(Print Name of Commissioner for Oaths or Notary

Stamp of Commissioner for Oaths or Notary Public

sworn before a person authorized under section 67 of

FORM 31—GARNISHEE SUMMONS (MAINTENANCE) - FINANCIAL INSTITUTION

(Subparagraph 19(2)(b)(i))

GARNISHEE SUMMONS (MAINTENANCE) -

FINANCIAL INSTITUTION

IN THE TERRITORIAL COURT OF THE NORTHWEST TERRITORIES

REGISTRY LOCATION

NAME G Fill in the name of the RECIPIENT

A recipient. If the recipient is

R the Administrator, use the

N same name as the original I

S Maintenance Order.

H

E

E

S

U

M Fill in the name of the NAME PAYOR

M payor.

O

N

S

(

M

A

I

N Fill in the name of the NAME MAINTENANCE GARNISHEE

T

E financial institution that is

N

A

N

C

E

)

-

TO MAINTENANCE GARNISHEE:

F

I

N

1. THE RECIPIENT BELIEVES THAT YOU ARE A FINANCIAL INSTITUTION as defined in subsection 1(1) of the Maintenance Orders

A Enforcement Act, N

C "financial institution" includes a bank listed in Schedule I or II to the Bank Act (Canada), a loan corporation, trust I

A

L corporation and a credit union;

I

N

S

T

I

2. THE PAYOR OWES MAINTENANCE PAYMENTS TO THE RECIPIENT under a maintenance order and the recipient has commenced T

U garnishment proceedings to enforce the order (under sections 13 or 14 of the Maintenance Orders Enforcement Act). T

I

O The recipient claims that there is or will be money that is payable by you or that there is money credited to a deposit account N held in your financial institution in the name of the payor.

The recipient has directed this GARNISHEE SUMMONS (MAINTENANCE) to you as garnishee in order to seize this money to enforce the payor's maintenance obligation.

3. THIS GARNISHEE SUMMONS (MAINTENANCE)

a. binds any money as it becomes payable to the payor from time to time after service of this GARNISHEE SUMMONS (MAINTENANCE), up to the amount specified in this GARNISHEE SUMMONS (MAINTENANCE); and

b. attaches 50% of all money credited to a deposit account held in the name of the payor or in the name of the payor together with one or more co-holders, or so much of the percentage of the money as is necessary to satisfy the amount set out in this

GARNISHEE SUMMONS (MAINTENANCE).

5. IF THE ACTUAL GARNISHMENT IS INSUFFICIENT TO MEET THE MONTHLY DEDUCTION IN ITEM 4, deduct from the deposit account money attached by this GARNISHEE SUMMONS (MAINTENANCE), the amount outstanding until the monthly rate is satisfied, to the maximum specified in item 4.

6. IF WAGES OR OTHER MONEY IS DEDUCTED BY YOU UNDER THIS GARNISHEE SUMMONS (MAINTENANCE), YOU ARE REQUIRED , WITHIN 10 DAYS after deduction, to pay the amounts so deducted to the Territorial Court (using a NOTICE OF PAYMENT INTO TERRITORIAL COURT (Form 43)

Yellowknife Registry Hay River Registry Inuvik Registry Administrator Territorial Court Territorial Court Territorial Court Maintenance 4903 49th St. 201-8 Capital Drive 151 Mackenzie Road Enforcement Program Box 550 Hay River, NT Box 1965 3rd Floor YK Centre East, Yellowknife, NT X0E 1G2 Inuvik, NT #17 - 4915 48th St. X1A 2N4 X0E 0T0 Yellowknife, NT

X1A 3S4

for so long as you continue to make payment to the payor or until this GARNISHEE SUMMONS (MAINTENANCE) is paid in full, terminated, revoked, or replaced by another GARNISHEE SUMMONS (MAINTENANCE) relating to this maintenance obligation.

CHEQUES must be made payable to the Government of the Northwest Territories (regardless of to whom they are paid).

7. IF MONEY IS DEDUCTED BY YOU FROM A DEPOSIT ACCOUNT UNDER THIS GARNISHEE SUMMONS (MAINTENANCE), YOU ARE REQUIRED TO, WITHIN 10 DAYS after deduction, a. pay the money to the Administrator; b. notify the Administrator of the names of all co-holders of the deposit account; c. give notice to each co-holder of the deposit account of i. the day that this GARNISHEE SUMMONS (MAINTENANCE) was served on you, and ii. the actual garnishment.

YOU ARE REQUIRED TO, in the notice of the garnishment given under paragraph 7(c) above to each co-holder of the deposit account, include the following statement: You have been named as a co-holder of a deposit account jointly held by a payor who is the subject of a GARNISHEE SUMMONS (MAINTENANCE). Your rights are set out under section 14.1 of the Maintenance Orders Enforcement Act. You have 45 days from the date of service on you of this GARNISHEE SUMMONS (MAINTENANCE) to apply to the Territorial Court by way of an APPLICATION TO JUDGE (Form 40) of the Civil Claims Rules disputing the garnishment to claim ownership of all or part of the money that the financial institution has paid to the Administrator. If you do not dispute the garnishment within this period, the money paid to the Administrator may be released in accordance with that Act.

8. YOU ARE REQUIRED, WITHIN 10 DAYS AFTER SERVICE OF THIS GARNISHEE SUMMONS (MAINTENANCE), to file with the Administrator or Territorial Court (as directed in this GARNISHEE’S SUMMONS (MAINTENANCE)) a GARNISHEE’S STATEMENT (MAINTENANCE) (Form 32) if any of the following occurs: a. there is no money currently owing or payable from the garnishee to the payor; b. the money seized is jointly held by the payor and one or more other persons; c. the garnishee does not forward the required amount to the Administrator or Territorial Court as required; d. the garnishee chooses to dispute the garnishment for any reason at any time.

9. IF YOU FAIL TO OBEY THIS GARNISHEE SUMMONS (MAINTENANCE), THE COURT MAY MAKE AND ENFORCE AN ORDER AGAINST YOU for the unpaid amount and any costs of the order and its enforcement against the garnishee.

10. IF YOU MAKE PAYMENT TO ANY PERSON OTHER THAN AS REQUIRED BY THIS GARNISHMENT SUMMONS (MAINTENANCE), YOU MAY

BE REQUIRED TO PAY AGAIN.

11 YOU MUST NOT CHARGE A FEE for receiving or responding to this GARNISHEE SUMMONS (MAINTENANCE).

12. THIS GARNISHEE SUMMONS (MAINTENANCE) HAS PRIORITY over any other GARNISHEE SUMMONS served on you or any other debt owed by the payor to you.

13. IF THIS GARNISHEE SUMMONS (MAINTENANCE) BINDS WAGES AND THE DEBTOR CEASES TO BE EMPLOYED BY YOU, you must advise the recipient in writing.

14. IF THIS GARNISHEE SUMMONS (MAINTENANCE) ATTACHES TO A DEPOSIT ACCOUNT AND THE OWNERSHIP OF THAT ACCOUNT CHANGES, you must advise the recipient in writing.

Date: Issued by: (Clerk of the Territorial Court)

Recipient’s address for service: Payor's full name and address, if known:

Telephone: Telephone:

Any party may apply under subrule 21(2) to a judge to determine any matter respecting this GARNISHEE SUMMONS (MAINTENANCE).

R-154-2018,s.9.

FORM 32 — GARNISHEE’S STATEMENT

(MAINTENANCE)

THE NORTHWEST TERRITORIES

MUST COMPLETE AND FILE THIS STATEMENT

CLAIMS RULES. FAILURE TO FILE THIS STATEMENT

OF THE UNPAID AMOUNT AND ANY COSTS

CLAIMS RULES.

money or have any money that is payable

under the GARNISHEE SUMMONS (MAINTENANCE) addresses are as follows:

NAME

NAME

NAME

NAME on an ADDITIONAL PAGE (Form 45). Be

amount required in the GARNISHEE SUMMONS

on an ADDITIONAL PAGE (Form 45). Be I am disputing the garnishment for the following reasons:

Check box if section is continued on an ADDITIONAL PAGE (Form 45). Be sure to attach page.

I acknowledge that I owe or will owe the payor the sum of $_____________, payable on the _________ day of __________, 20 ______.

(Describe nature of debt and terms of payment.)

Check box if section is continued on an ADDITIONAL PAGE (Form 45). Be sure to attach page.

I owe the sum of $ ________________and am concurrently forwarding to ______________ (the Court or the recipient as directed in this GARNISHEE SUMMONS (MAINTENANCE)) the sum of $________________. (For use when the garnishee forwards less than the required amount(s) set out in the Garnishee Summons.)

I owe the payor the sum of $________________ and am concurrently forwarding to the recipient the sum of $ ________________. This money was held jointly by the payor and one or more other persons.

I am not the payor's employer and am therefore not liable for any wages to the payor.

I acknowledge that I am the payor’s employer and that the payor is paid wages as follows:

$ $ (gross amount before deductions) (net amount of pay after deductions) (date of next pay day) (pay period)

A copy of the payor's latest pay slip is enclosed.

I have been served with another Garnishee Summons against the payor for maintenance payments, the details of which are as follows:

(name of general creditor) (name of court and judicial centre) (date of garnishment summons) (date of service on garnishee)

I reside outside the Northwest Territories and object on the basis that service outside the Northwest Territories was improper on the following grounds:

Check box if section is continued on an ADDITIONAL PAGE (Form 45). Be sure to attach page.

Signature of or for Date: Garnishee:

Name of Garnishee:

Address:

Telephone:

R-154-2018,s.9.

FORM 33 — WORKSHEET

(MAINTENANCE)

name of the NAME from the

SUMMONS

name of the payor NAME

GARNISHEE

NAME name of the business that is to

OF THIS WORKSHEET (MAINTENANCE) IS TO ASSIST THE MAINTENANCE

OF THE GARNISHEE SUMMONS (MAINTENANCE) TO BE GARNISHED

(MAINTENANCE) UNDER SECTION 14 OF THE MAINTENANCE ORDERS

The residence of the payor is:

The nature and place of the payor’s occupation is:

State particulars of any money that is payable or that will become now): (To be completed by the Maintenance Garnishee)

Check box if section is continued on an ADDITIONAL PAGE (Form 45). Be

4. State particulars of any dependants of the payor:

3.

4.

Check box if section is continued on an ADDITIONAL PAGE (Form 45). Be sure to attach page.

5. Fill out the following regarding the payor’s maintenance payments:

Total Arrears of Payment $

Current Rate of Maintenance $

Frequency of Payments

Amount of Maintenance in one year based on current rate $

Maximum Maintenance Payment for Year under This amount of arrears is not to exceed one year’s maintenance GARNISHEE SUMMONS (MAINTENANCE) $ at the current rate of maintenance

Note that under paragraph 7(4)(c) of the Exemptions Act, the exemptions in respect of net wages or salary do not apply in the case of a garnishee summons issued on a maintenance order. There are no exemptions that apply in respect of a garnishment proceedings under sections 14 to 16 of the Maintenance Orders Enforcement Act but the garnishment of arrears must not exceed one year’s maintenance at the current rate of maintenance. There may be other ways of enforcing obligations to pay money under a maintenance order available to a recipient—for example through attachments (see sections 13 and 16.1 to 21 of the Maintenance Orders Enforcement Act).

Signature of or for Date: Recipient:

Name:

Address for service:

Telephone:

The information contained in this form is presented as an aid to understanding the underlying legislation. It does not replace the need to consult the Civil Claims Rules and the applicable Acts or regulations. This information is not a substitute for independent legal advice. If there is any conflict between legislation and this information, the legislation must prevail.

R-154-2018,s.9.

FORM 34—NOTICE OF TERMINATION OF

OF GARNISHMENT

OF THE NORTHWEST TERRITORIES

NAME

NAME

NAME

TO: MAINTENANCE GARNISHEE

AND TO: THE TERRITORIAL COURT

The GARNISHEE SUMMONS (MAINTENANCE) which was served on you, is TERMINATED. You

Signature Recipient:

Address for

Telephone:

FORM 35—GARNISHEE SUMMONS

SUMMONS (GENERAL)

COURT OF THE NORTHWEST TERRITORIES

address NAME number of

ADDRESS

CITY, TOWN, COMMUNITY TERRITORY/PROVINCE

address NAME number of

ADDRESS

CITY, TOWN, COMMUNITY TERRITORY/PROVINCE

address NAME number of business ADDRESS

CITY, TOWN, COMMUNITY TERRITORY/PROVINCE

SUMMARY

a. Date of Judgment

b. Amount of Judgment

c. Unsatisfied Amount

d. Amount Payable in respect of all other

TO GENERAL CREDITOR:

1. You have chosen to enforce a judgment or order by garnishment. Once you have made the required filings and paid the prescribed fee under subrule 20(2) of the Civil Claims Rules and received the copies from the clerk, you must serve by personal service the required documents on the garnishee and debtor in accordance with subrule 20(4)of the Civil Claims Rules. In addition if a garnishee is (a) the Government of Canada, you must also personally serve it and the debtor a completed application form set out in the Schedule to the Garnishment and Attachment Regulations, SOR/83-212, made under the Garnishment, Attachment and Pension Diversion Act (Canada); or (b) the Government of the Northwest Territories, you must personally serve it by serving the Comptroller General of the Northwest Territories.

2. If the amount owing under this GARNISHEE SUMMONS (GENERAL) is fully paid by a person other than the garnishee, or otherwise settled, you are required to file and serve, without delay, by ordinary service on the garnishee and debtor a NOTICE OF TERMINATION OF GARNISHMENT (GENERAL) in Form 39 of the Civil Claims Rules .

TO THE DEBTOR:

1. The general creditor is seeking to enforce a judgment or order against you by this GARNISHEE SUMMONS (GENERAL).

2. If you think that exemptions may apply to you under the Exemptions Act or any other enactment, you should advise the garnishee immediately.

TO GARNISHEE:

1. The general creditor is seeking to enforce a judgement or order against a debtor by means of this GARNISHEE SUMMONS (GENERAL). You have been named as a garnishee by the general creditor.

2. Your attention is drawn to subrules 20(8) to (16) of the Civil Claims Rules and also sections 6 to 8 of the Creditor’s Relief Act.

3. As the garnishee, you must pay into the Territorial Court or pay to the person named in the GARNISHEE SUMMONS (GENERAL) the maximum amount required (see the Summary), less any amount exempted (as calculated in a WORKSHEET (GENERAL) in Form 38 of the Civil Claims Rules). If you dispute the amount, you must explain why (in a GARNISHEE’S STATEMENT (GENERAL) in Form 37 of the Civil Claims Rules) and what amount, if any, should be paid.

4. The payment into the Territorial Court or to the person named in the GARNISHEE SUMMONS (GENERAL) be made (a) 10 days after service on the garnishee or 10 days after the debt becomes payable, whichever is later; or (b) such other longer period as may be ordered by a judge.

5. If you fail to make the required payment, the general creditor may, under subrule 20(14) of the Civil Claims Rules, apply to a judge to obtain an order against you for payment of (a) the unpaid amount; and (b) any costs of the order and its enforcement against the you.

6. Payment into Territorial Court may be made at the following Registry of the Territorial Court:

Yellowknife Registry Hay River Registry Inuvik Registry Territorial Court Territorial Court Territorial Court 4903 49th St. 201-8 Capital Drive 151 Mackenzie Road Box 550 Hay River, NT Box 1965 Yellowknife, NT X0E 1G2 Inuvik, NT

X1A 2N4 X0E 0T0 refer to rule 20 of the Civil Claims Rules and also sections

address for service:

FORM 36—AFFIDAVIT IN SUPPORT OF GARNISHEE SUMMONS (GENERAL)

(Paragraph 20(2)(b))

(GENERAL)

REGISTRY LOCATION

IN THE TERRITORIAL COURT OF THE NORTHWEST TERRITORIES

A

F Fill in the name of the NAME GENERAL CREDITOR F general creditor. I

D

A

V Fill in the name of the NAME DEBTOR

I debtor. T

I

N Fill in the name of the NAME GARNISHEE S person or business that is U

P to be garnisheed.

P

O I, ___________________________________, of _________________________________________, R

T

(COMMUNITY)

O Northwest Territories, ______________________________________, make oath and say that: F

(OCCUPATION) G

A

R

1. I have personal knowledge of the facts referred to in this affidavit except where stated to be on N information and belief, and where so stated I do believe them to be true. I

S

H

E

2. An order for the payment of money in respect of a judgment was made on the ______ day of E _________, 20 ____ , a copy of which judgment is attached to this my affidavit as Exhibit "A". S

U

M

3. To date, the following payments have been received: M

O Date Amount ($) N

S

(

G

E

N Total E

R

A

L

4. The amount payable, including interest of $ ____________________, is

)

5. The name and address of the garnishee is (a) _______________________________________________

_______________________________________________ .

6. I believe that the garnishee is, or will become, indebted to the debtor, because (a) _______________________________________________ _______________________________________________; and (b) _______________________________________________

_______________________________________________.

7. Such particulars of the debt as are known, including whether or not it is for wages: (a) for wages? Yes No____________________________

_______________________________________________; and

(b) for wages? Yes No____________________________

_______________________________________________. documents are attached as exhibits, label each with a letter starting

B ..."))

box if section is continued on an ADDITIONAL PAGE (Form 45). Be sure to attach

BEFORE ME at

(Community)

Territories, on 20

(Month) (Day)

of Commissioner for Oaths or Notary Public)

of Commissioner for Oaths or Notary Public)

of Commissioner for Oaths or Notary Public

This affidavit must be sworn before a person authorized under with the requirements of that Act.

FORM 37 — GARNISHEE’S STATEMENT

STATEMENT (GENERAL)

name of the NAME creditor.

name of the NAME

name of the NAME business that is

all of the following that apply:

I do not owe any debt due or payable to the debtor.

I acknowledge that I owe or will owe the debtor the sum of $___________,

(Describe nature of debt and terms Check box if section is continued on an ADDITIONAL PAGE (Form 45). Be

I owe the sum of $ ______________ and am concurrently paying this less than the maximum amount set out in the GARNISHEE SUMMONS

I am not the debtor's employer.

I acknowledge that I am the debtor's employer and that the debtor

$ $

(gross amount before deductions) (net amount of pay after deductions)

A copy of the debtor’s latest pay slip is enclosed.

I have been served with another Garnishee Summons against the

(name of general creditor) (name of court and judicial centre) I reside outside the Northwest Territories and object on the ground following grounds:

Check box if section is continued on an ADDITIONAL PAGE (Form 45). Be

I have other reasons for objecting to the garnishment:

Check box if section is continued on an ADDITIONAL PAGE (Form 45). Be

Signature Garnishee:

Name of Garnishee:

Telephone:

FORM 38 — WORKSHEET

(GENERAL)

NAME name of the

name of the NAME

name of the

NAME business that is

of this WORKSHEET (GENERAL) is to assist the garnishee will be required to pay under a GARNISHEE SUMMONS (GENERAL).

accordance with section 2 of the Exemptions Act, the following money debtor has not absconded or is appearing to abscond from the Northwest

(a) money paid or payable pursuant to a legal entitlement for suffered by the debtor, other than compensation for wages (b) assistance provided to the debtor and any dependants under

particulars of each debt, other than wages or salary, due or accruing by the Garnishee)

Item Amount Due or Accruing When Due or Accruing Due Due

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

Total (A)

Check box if section is continued on an ADDITIONAL PAGE (Form 45). Be sure

3. State particulars of all wages or salary of the debtor that, in a course of an employment relationship that exists between you and the debtor, at the time of service of the GARNISHEE SUMMONS (GENERAL), are payable or that become payable during the time that the GARNISHEE SUMMONS (GENERAL) is in effect: (To be completed by the garnishee)

Item Amount Paid or Payable When Paid or Payable Description

2.

3.

4.

5.

6.

Total (B) Check box if section is continued on an ADDITIONAL PAGE (Form 45). Be sure to attach page.

4. The total amount of subsisting executions against the debtor, other than the current GARNISHEE SUMMONS (GENERAL) in the hands of the Sheriff, excluding any maintenance enforcement, is as follows (include certificates of subsisting execution from Sheriff (Form 1 in the Schedule to the Creditors Relief Forms Regulations) or the equivalent from other jurisdictions): Priority Item Amount Date Description (for Clerk to fill in)

1.

2.

3.

4.

5.

6.

Total (C) Check box if section is continued on an ADDITIONAL PAGE (Form 45). Be sure to attach page.

5. State particulars of any garnishment (maintenance) or attachment under the Maintenance Orders Enforcement Act if known (state issuing Court, amount etc.):

Check box if section is continued on an ADDITIONAL PAGE (Form 45). Be sure to attach page.

Note that any garnishment (maintenance) or attachment under the Maintenance Orders Enforcement Act will take priority over any garnishment (general).

6. State particulars of any dependants of the debtor: (To be completed by the garnishee)

3.

4.

Total (D)

Check box if section is continued on an ADDITIONAL PAGE (Form 45). Be sure to attach page.

7. Fill in the following to determine exemptions that apply: (To be completed by the garnishee)

Basic exemption amount: $1,000 (E)

Number of dependants: (D) × $ 250 = (F)

$ Total Prescribed Exemption (E + F) (G)

$ Monthly net wages or salary (H) × 0.70 = (I)

$ $

(K) Total Exemption Amount per If line G greater than line I, then enter line G, otherwise enter line I $ month

This exemption amount authorized by section 7 of the Exemptions Act and calculated above does not apply (a) if the debt is for board or lodging; (b) if the debtor has absconded or appears to be preparing to abscond from the Northwest Territories, leaving no dependants in the Territories; or (c) to a garnishee summons issued on a judgment or order for the payment of support.

This exemption may also be reduced under subsection 7(5) of the Exemptions Act if a dependant is receiving income.

8. Fill in the following:

Maximum amount of claim of creditor $

Costs payable of this GARNISHEE SUMMONS $

(GENERAL)

TOTAL $

Signature of or for Date: General Creditor:

Name:

Address:

Telephone:

R-154-2018,s.9.

FORM 39—NOTICE OF TERMINATION

OF TERMINATION OF GARNISHMENT (GENERAL)

COURT OF THE NORTHWEST TERRITORIES

NAME address number of

ADDRESS

CITY, TOWN, COMMUNITY TERRITORY/PROVINCE

address NAME number of

ADDRESS

CITY, TOWN, COMMUNITY TERRITORY/PROVINCE

NAME address number of business ADDRESS

CITY, TOWN, COMMUNITY TERRITORY/PROVINCE

TO: GARNISHEE, DEBTOR AND THE TERRITORIAL

THE GARNISHEE SUMMONS (GENERAL) AND SERVED ON YOU, IS TERMINATED. You are not

Signature General

Telephone:

FORM 40—APPLICATION

TO JUDGE

the APPLICATION TO JUDGE. To complete this type or print clearly.

STEP 2 the APPLICATION TO JUDGE by taking or mailing it to Court registry. You will be required to pay a staff will file the original application on the Court file. If a hearing is required, registry staff a date for a hearing at least 21 days from the date APPLICATION or as ordered by a judge.

STEP 3 Court registry will send a copy of the filed TO JUDGE to you and each party. Notice of and time of the hearing, if any, is contained in

TO JUDGE.

in urgent cases, that a judge may make an even though the other parties have not been served the APPLICATION TO JUDGE and NOTICE OF If that is necessary, be sure to explain that in APPLICATION TO JUDGE so that a judge may consider argument.

JUDGE

NAME

ADDRESS

CITY, TOWN, COMMUNITY TERRITORY/PROVINCE

NAME

ADDRESS

CITY, TOWN, COMMUNITY TERRITORY/PROVINCE

NAME

ADDRESS

CITY, TOWN, COMMUNITY TERRITORY/PROVINCE

With consent of all parties (include Consent Order in Form 5)

The applicant asks for an order to

change date of trial if action commenced Supreme Court (subrule 6(9) of the Civil Claims Rules);

allow a Third Party Notice after settlement conference (paragraph 7(1)(b) of the Civil Claims Rules);

permit filing of a Statement of Defence Notice of Default filed (subrule 8(8) of the Civil Claims Rules);

set aside Default Judgement (subrule 8(13) the Civil Claims Rules);

cancel Agreement and enter judgment terms of cancelled Agreement with costs (subrule 9(13) of the Civil Claims Rules); The applicant asks for an order to

Renew a Statement of Claim (subrule 3(10) of Permit settlement conference, trial or the Civil Claims Rules); hearing by telephone or audio-visual method (subrule 22(17) of the Civil Claims Rules); A hearing may be required for any of Permit service by other means or dispense Exempt the applicant from paying fees these orders [see with it (subrule 4(4) of the Civil Claims Rules), (subrule 3(2)) Court Services Fees subrule 21(1.1)]. including outside of the Northwest Regulations); Territories;

Renew Third Party Notice if Affidavit of other (as follows—cite relevant rule, if any): Service not filed on time (subrule 7(6) of the Civil Claims Rules);

The facts on which the APPLICATION is based are as follows:

Give the facts you wish the Court to consider and then sign the Application.

Check box if section is continued on an ADDITIONAL PAGE (Form 45). Be sure to attach page.

I certify these facts are true _____________________________ Signature of Applicant

NOTICE OF HEARING

An application will be made to the Territorial Court of the Northwest Territories on

or as soon after this time as the at __ M Territorial Court schedule allows. Date Time

at Location of Hearing of Application

Date Clerk of the Territorial Court

ORDER

To be filled by the judge or justice. The following order was made by Judge or Justice Alternatively if the order is detailed, it could be set out in an Order in Date Form 27. of the Territorial Court of the Northwest Territories on

Check box if section is continued on an ADDITIONAL PAGE (Form 45). Be sure to attach page.

R-154-2018,s.9; R-105-2019,s.5.

FORM 41—NOTICE

FORM 42—NOTICE OF WITHDRAWAL

OF APPLICATION

OF THE NORTHWEST TERRITORIES

IN THE CASE BETWEEN

NAME

AND

NAME

AND

NAME

I ________________________________________,

(NAME) _________ day of __________, 20 ______, a copy

Signature

FORM 43—NOTICE OF PAYMENT

INTO TERRITORIAL COURT

IN THE CASE BETWEEN

NAME

AND

NAME

AND

NAME

The sum of $ ______________________________ by _________________________________________________________

to pay the amount claimed in the STATEMENT

to pay the amount claimed in the COUNTERCLAIM;

to pay the amount claimed in the THIRD

to satisfy or partially satisfy a JUDGMENT/PAYMENT

other (state purpose in space provided):

Check box if section is continued on an ADDITIONAL

Date

FORM 44—NOTICE OF

OF THE NORTHWEST TERRITORIES

IN THE CASE BETWEEN

NAME

AND

NAME

AND

NAME

I ________________________________________,

STATEMENT OF CLAIM against

COUNTERCLAIM against

THIRD PARTY NOTICE against

Signature

FORM 45—ADDITIONAL

TERRITORIES

this ________day

an ADDITIONAL

Initials Page _____ of _____:

Initials Initials

ANNEXE

NOM

ADRESSE

CITÉ, VILLE, COLLECTIVITÉ TERRITOIRE/PROVINCE

NOM

ADRESSE

CITÉ, VILLE, COLLECTIVITÉ TERRITOIRE/PROVINCE

Cochez si la rubrique se poursuit sur une PAGE SUPPLÉMENTAIRE

MOMENT Indiquez CITÉ, VILLE, COLLECTIVITÉ la événements.

a.

b.

c.

d.

e.

f.

g.

h.

i.

j.

Cochez si la rubrique se poursuit sur une PAGE SUPPLÉMENTAIRE de téléphone ADRESSE figurant sur

CITÉ, VILLE, COLLECTIVITÉ TERRITOIRE/PROVINCE

NOM les nom, adresse de téléphone ADRESSE qui dépose

DÉFENSE. est l’adresse aux

CITÉ, VILLE, COLLECTIVITÉ TERRITOIRE/PROVINCE

: a. à la « MONTANT » de b. et les motifs de c. de chaque (p.ex. a-d). d. tout élément vous êtes en Cochez si la rubrique se poursuit sur une PAGE SUPPLÉMENTAIRE

DE LA DÉCLARATIO N : Moi, de payer

(NOM) partie de la faites une Précisez les le montant des

RECONVENTIONNELLE : (À REMPLIR SEULEMENT SI VOUS VOULEZ

: brièvement ce lieu à votre

Cochez si la rubrique se poursuit sur une PAGE SUPPLÉMENTAIRE a.

b.

d.

e.

f.

g.

h.

i.

j.

Cochez si la rubrique se poursuit sur une PAGE SUPPLÉMENTAIRE

DÉFENDEUR RECONVENTIONNEL POUR DÉPOSER

RECONVENTIONNELLE doit être déposée dans demande reconventionelle est signifiée à l’extérieur réclamation directement avec le requérant. dans le délai imparti, une ordonnance devra alors payer le montant réclamé, en plus des

de dépôt des documents est la suivante :

de Yellowknife

X1A 2N4

3—AFFIDAVIT DE SIGNIFICATION

OU DE TENTATIVE

DU NORD-OUEST

(NOM)

au

SOUS SERMENT QUE : □ j’ai tenté de signifier □ j’ai signifié □ j’ai signifié à personne

le

à

□ la copie de la DÉCLARATION jointe □ la DÉFENSE, non remplie, jointe □ les copies d’autres documents □ la copie de la CONVOCATION présent affidavit; □ la copie de la CONVOCATION présent affidavit;

□

par

DEVANT MOI à

du Nord-Ouest, le

(jour)

(Signature du commissaire aux serments ou du notaire

(Nom en lettres moulées du commissaire aux serments ou Timbre du commissaire aux serments ou du notaire affidavit doit être souscrit devant une personne autorisée en vertu

FORMULE 4—CHANGEMENT

TERRITOIRES DU NORD-OUEST

NOM

ADRESSE

CITÉ, VILLE, COLLECTIVITÉ TERRITOIRE/PROVINCE

NOM

ADRESSE

CITÉ, VILLE, COLLECTIVITÉ TERRITOIRE/PROVINCE

NOM

ADRESSE

CITÉ, VILLE, COLLECTIVITÉ TERRITOIRE/PROVINCE

Moi,

(NOM) je désire informer la Cour territoriale et les autres

ADRESSE

CITÉ, VILLE, COLLECTIVITÉ TERRITOIRE/PROVINCE

Ce changement prend effet le :

Signature

FORMULE 5—ORDONNANCE

CONSENTEMENT

TERRITOIRES DU NORD-OUEST

NOM

ADRESSE

CITÉ, VILLE, COLLECTIVITÉ TERRITOIRE/PROVINCE

NOM

ADRESSE

CITÉ, VILLE, COLLECTIVITÉ TERRITOIRE/PROVINCE

NOM

ADRESSE

CITÉ, VILLE, COLLECTIVITÉ TERRITOIRE/PROVINCE

NOM

PARTIE

DATE

Cochez si la rubrique se poursuit sur une PAGE SUPPLÉMENTAIRE Date

fait signer les parties, l’ORDONNANCE Date au la Cour pour signature Une fois signé par le présent constitue un

FORMULE 6—AVIS DE CONFÉRENCE

DE CONFÉRENCE DE RÈGLEMENT

TERRITORIALE DES TERRITOIRES DU NORD-OUEST

les nom, adresse NOM de téléphone figurant ADRESSE

CITÉ, VILLE, COLLECTIVITÉ TERRITOIRE/PROVINCE

les nom, adresse NOM de téléphone figurant ADRESSE

CITÉ, VILLE, COLLECTIVITÉ TERRITOIRE/PROVINCE

les nom, adresse NOM de téléphone cause figurant ADRESSE

DE MISE EN le cas échéant.

CITÉ, VILLE, COLLECTIVITÉ TERRITOIRE/PROVINCE

de règlement aura lieu le

heure Date

lieu

être présent? Le particulier autorisé à régler la réclamation. apporter? Tous les documents et autres choses pertinents. La partie qui ne s’est être tenue de payer les frais raisonnables des autres parties. passe-t-il? Consultez la règle 9 des Règles en matière civile d’une façon générale si une partie ne se présente pas? La demande peut être rejetée ou le juge peut rendre une ordonnance

datera et Date formule.

FORMULE 7—DÉFENSE À UNE DEMANDE

UNE DEMANDE RECONVENTIONNELLE

du défendeur reconventionnel (défendeur reconventionnel) qui reçoit une avec DEMANDE RECONVENTIONNELLE peut prendre l’une des mesures suivantes :

DE : contester tout ou partie de la demande reconventionnelle en énumérant les motifs de contestation; admettre tout ou partie de la demande reconventionnelle; payer le montant réclamé au demandeur reconventionnel ou te consigner à la Cour territoriale en vertu du paragraphe 22(21) et demander au demandeur reconventionnel de se désister de la DÉFENSE avec DEMANDE RECONVENTIONNELLE en vertu du paragraphe 22(22); faire une offre de règlement en vertu de la règle 14; admettre tout ou partie de la demande reconventionnelle et proposer un calendrier des paiements.

ÉTAPE 1

la DÉFENSE À UNE DEMANDE RECONVENTIONNELLE la présente formule clairement, en caractères imprimés.

ÉTAPE 2 CONTESTATION

la DÉFENSE À UNE DEMANDE RECONVENTIONNELLE en ou en la postant au greffe de la Cour territoriale. Le vérifiera votre formule et, si elle est conforme, aux fins de dépôt. La DÉFENSE À UNE DEMANDE doit être déposée au greffe dans le délai dans la DÉFENSE avec DEMANDE RECONVENTIONNELLE.

ÉTAPE 3 de la Cour territoriale enverra une copie de la DÉFENSE À DEMANDE RECONVENTIONNELLE au défendeur (demandeur et, dans la plupart des cas, fixera une date de de règlement. Vous recevrez un avis vous informant de Note et du lieu de la conférence. Certaines causes procéderont à l’instruction auquel cas vous recevrez un avis de la et du lieu.

ÉTAPE 4

fois la date fixée, vous pouvez vous préparer en vue de la ou de l’instruction.

RECONVENTIONNELLE

NOM

ADRESSE

CITÉ, VILLE, COLLECTIVITÉ TERRITOIRE/PROVINCE

NOM

ADRESSE

CITÉ, VILLE, COLLECTIVITÉ TERRITOIRE/PROVINCE

a.

b.

c.

d.

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CONVENTIONNELLE : Moi,

(NOM)

Signature reconventionnel

DE MISE EN CAUSE

NOM les nom, adresse de téléphone ADRESSE figurant sur

CITÉ, VILLE, COLLECTIVITÉ TERRITOIRE/PROVINCE

NOM les nom, adresse de téléphone ADRESSE figurant sur

CITÉ, VILLE, COLLECTIVITÉ TERRITOIRE/PROVINCE

NOM les nom, adresse de téléphone ADRESSE ou de qui, selon le devrait payer partie de la contre le

CITÉ, VILLE, COLLECTIVITÉ TERRITOIRE/PROVINCE

: ce qui donne lieu

Cochez si la rubrique se poursuit sur une PAGE SUPPLÉMENTAIRE a.

:

mis en cause. b.

avec le d.

e. les montants le montant f.

g.

h.

i.

j.

Cochez si la rubrique se poursuit sur une PAGE SUPPLÉMENTAIRE

DÉLAI ACCORDÉ AU DÉFENDEUR POUR DÉPOSER

À UN AVIS DE MISE EN CAUSE doit être déposée dans un délai de MISE EN CAUSE est signifié à l’extérieur des Territoires du Nord-Ouest), avec la partie qui présente l’AVIS DE MISE EN CAUSE. Si le mis en imparti, une ordonnance judiciaire peut être rendue contre lui en plus des intérêts et autres frais.

de la Cour aux fins de dépôt des documents est la suivante :

Cour territoriale de Yellowknife 4903 49e Rue

C.P. 550 Yellowknife, NT X1A 2N4

À UN AVIS DE MISE EN CAUSE

les nom, adresse de téléphone ADRESSE figurant sur

CITÉ, VILLE, COLLECTIVITÉ TERRITOIRE/PROVINCE

NOM les nom, adresse de téléphone ADRESSE figurant sur

CITÉ, VILLE, COLLECTIVITÉ TERRITOIRE/PROVINCE

NOM les nom, adresse de téléphone ADRESSE cause figurant

DE MISE EN

CITÉ, VILLE, COLLECTIVITÉ TERRITOIRE/PROVINCE

: a. ce qui est des b. Si la comporte c. éléments, chacun d. avec le correspondant. e. les et inscrivez le f. total réclamé. g.

h.

i.

j.

Cochez si la rubrique se poursuit sur une PAGE SUPPLÉMENTAIRE

COLLECTIVITÉ TERRITOIRE/PROVINCE

COLLECTIVITÉ TERRITOIRE/PROVINCE

Date

Aucune audience requise — réclamation pour

Audience requise — réclamation pour faire déterminera le montant auquel a droit le s’impose.

lieu devant la Cour territoriale des Territoires

heure

lieu

Date

FORMULE 11—JUGEMENT

DANS L’AFFAIRE ENTRE

NOM

ET

NOM

À REMPLIR SI AUCUNE AUDIENCE N’EST REQUISE

Étant donné que

n’a pas déposé de DÉFENSE et que le demandeur

DEÉCLARATION

LA COUR ORDONNE AU DÉFENDEUR :

DE PAYER AU DEMANDEUR LA SOMME DE

ET

Date Date

est déposée de la Cour à la suite d’une de règlement, Date être datée et le juge. Dans elle devrait greffier.

FORMULE 12—ENTENTE

NOM

ADRESSE

CITÉ, VILLE, COLLECTIVITÉ TERRITOIRE/PROVINCE

NOM

ADRESSE

CITÉ, VILLE, COLLECTIVITÉ TERRITOIRE/PROVINCE

NOM

ADRESSE

CITÉ, VILLE, COLLECTIVITÉ TERRITOIRE/PROVINCE

LES PARTIES ONT CONVENU DE CE QUI SUIT :

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FORMULE 13—PROCÈS-VERBAL DE

CONFÉRENCE DE RÈGLEMENT

TERRITOIRES DU NORD-OUEST

DANS L’AFFAIRE ENTRE

NOM

ET

NOM

ET

NOM

le

jour mois

S/O

S/O

S/O

S/O

S/O

S/O

S/O

S/O

S/O

CONSENTEMENT ORDONNANCE

ci-jointe Après discussions

_____________________

Elle

Elle

Elle

Elle

FORMULE 14—AVIS

D’INSTRUCTION

TERRITORIALE DES TERRITOIRES DU NORD-OUEST

DANS L’AFFAIRE ENTRE

le nom du NOM figurant sur la

ET

le nom du NOM nommé dans la

ET

le nom du mis en

NOM dans l’AVIS EN CAUSE, le cas

aura lieu devant la Cour territoriale des Territoires du

heure Date

lieu

datera et Date formule.

FORMULE 15—AFFIDAVIT

DANS L’AFFAIRE ENTRE

NOM

ET

NOM

ET

NOM

Moi, _______________________________________,

(NOM)

________________________________________,

(ADRESSE)

1. Je suis le demandeur défendeur mis en cause dans la présente action et les présentes constituent d’ordonnance en vue de faire inscrire jugement.

2. J’ai la connaissance directe des faits mentionnés déclarations faites sur la foi de renseignements véracité.

3. Une entente a été conclue et consignée lors

4. Le demandeur défendeur mis en cause n’a pas respecté les dispositions consignées

si la rubrique se poursuit sur une PAGE SUPPLÉMENTAIRE

NOM

ADRESSE

CITÉ, VILLE, COLLECTIVITÉ TERRITOIRE/PROVINCE

DANS L’AFFAIRE ENTRE

NOM

ET

NOM

ET

NOM

à la Cour territoriale des Territoires du Nord-Ouest

hheeuurree

lliieeuu

au nom de __________________________. (partie) et autres choses suivants :

se poursuit sur une PAGE SUPPLÉMENTAIRE (formule

d’un avis de comparution? Cour territoriale aux heure et lieu indiqués dans territoriale les documents et autres choses précisés

témoin n’est pas nécessaire ou si le fait de comparaître

DE COMPARUTION.

pas? MANDAT D’ARRÊT contre vous.

de _____________ $ à titre de frais de déplacement

Signature de la

FORMULE 17—MANDAT

DANS L’AFFAIRE ENTRE

NOM

ET

NOM

TERRITOIRES DU NORD-OUEST

d’arrêter, où que ce soit dans les Territoires

d’amener sans tarder de la personne)

la personne a omis de comparaître devant

à

au

suivant : l’avis de comparution la convocation à l’audience sur le la convocation à l’audience sur le l’ordonnance d’un juge ou juge de

aux Territoires du Nord-Ouest,

mandat demeure valide pendant 12 mois

exécuté

20_____, que ________________________________________________________

la somme mise sous gage ait été déposée auprès du greffier

les cautions aient signé le présent ENGAGEMENT.

ce qui suit sauf si la Cour n’a pas exigé de caution.

ci-dessous, chaque caution accepte d’être endettée dans la même respecte pas les modalités prévues à la présente formule.

adresse de la première caution :

:

adresse de la troisième caution :

:

Date

FORMULE 19—OFFRE

DANS L’AFFAIRE ENTRE

NOM

ET

NOM

ET

NOM

OFFRE DE RÈGLEMENT

Le(s) demandeur(s) ou défendeur(s) ou mis en cause

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peut être faite jusqu’à 30 jours après

une OFFRE DE RÈGLEMENT dispose d’un délai sera considérée comme un rejet de l’offre.

l’offre doit remplir l’ACCEPTATION DE L’OFFRE après avoir reçu la signification de l’offre.

L’ACCEPTATION signification de l’ACCEPTATION DE L’OFFRE constitue une ORDONNANCE DE PAIEMENT.

instance peut ordonner à une partie de payer autres frais et peut atteindre jusqu’à 20 % du montant

Date

FORMULE 20—ACCEPTATION DE

L’OFFRE DE RÈGLEMENT

TERRITOIRES DU NORD-OUEST

DANS L’AFFAIRE ENTRE

NOM

ET

NOM

ET

NOM

ACCEPTATION DE L’OFFRE DE RÈGLEMENT

Le(s) demandeur(s) ou défendeur(s) ou mis en cause

accepte(nt) l’OFFRE DE RÈGLEMENT signifiée le

Date

DÉLAI D’ACCEPTATION

La partie qui reçoit une OFFRE DE RÈGLEMENT l’offre pour l’accepter. L’absence de

ACCEPTATION DE L’OFFRE

La partie qui accepte l’offre doit remplir partie adverse au plus tard 28 jours

DÉPÔT DE L’OFFRE ET DE L’ACCEPTATION

Si la partie qui reçoit signification de l’acceptation au greffe de la Cour territoriale,

Date

FORMULE 21—ORDONNANCE

DE PAIEMENT

DANS L’AFFAIRE ENTRE

les nom, adresse NOM de téléphone

ADRESSE figurant sur

CITÉ, VILLE, COLLECTIVITÉ TERRITOIRE/PROVINCE

ET les nom, adresse NOM de téléphone nommé ADRESSE

DÉCLARATION.

CITÉ, VILLE, COLLECTIVITÉ TERRITOIRE/PROVINCE

ET

les nom, adresse NOM de téléphone cause nommé ADRESSE

DE MISE EN le cas échéant.

CITÉ, VILLE, COLLECTIVITÉ TERRITOIRE/PROVINCE

la date et cochez Le ___________________________________

(DATE)

conférence de règlement, à laquelle________________________a

audience sur le paiement

instruction

autre _______________________________________________________________

quand La présente ordonnance a été rendue par a été rendue

territoriale des Territoires du Nord-Ouest le

PAYER À ordonne le d’une somme (NOM) inscrivez le partie qui et celui de la recevra le

case immédiatement

selon le calendrier des paiements ci-après

a ordonné un par ou avant date, le montant des et le

LA COUR ORDONNE CE QUI SUIT : que le d’une somme

et présente Date prélever la somme de __________ $; __________ $ le montant de la dette ou des dommages-intérêts et la de __________ $ représentant le montant des frais et des taxés et de l’intérêt fixé à ___________ % par année sur ces à partir du ___________20___ ainsi que la somme de $ relative au présent bref;

le cas seulement où les sommes sont prélevées sur les biens- débiteur, pour les frais supplémentaires occasionnés par en sus, la somme de _________________ $.

en outre, le montant des frais occasionnés après le qui est déclaré être payable par le débiteur au créditeur somme de ________________ $.

les autres dépenses ici)

que le sache le créancier : nom complet du débiteur est

du débiteur est

résidence du débiteur est

DES TITRES DE BIENS-FONDS

que la présente est une copie conforme du bref portant sur le bien-fonds et de toutes les inscriptions y lequel bref est actuellement entre mes mains pour les fins Le présent bref a été délivré par la Cour territoriale du Nord-Ouest et reçu par moi à _______heures le

20____.

________________________________________________, du Nord-Ouest, le _____________ 20____.

R-105-2019,art.5.

À L’AUDIENCE SUR LE PAIEMENT

NOM

les nom, adresse

ADRESSE de téléphone que vous devant la Cour

CITÉ, VILLE, COLLECTIVITÉ TERRITOIRE/PROVINCE

DANS L’AFFAIRE ENTRE

le nom du NOM

ET

le nom du NOM

présence est requise à la Cour territoriale des Territoires du Nord-Ouest

heure Date

lieu

apporter les documents et autres choses suivants :

ce que vous la personne

Cochez si la rubrique se poursuit sur une PAGE SUPPLÉMENTAIRE

que vous réclame le créancier est le suivant :

a) montant total du jugement des utilisez une PAGE b) moins tout paiement au créancier c) solde dû 45) qui en expose Assurez-vous d) intérêts (jusqu’à la date plus bas) la page en e) frais du créancier autorisés par la Cour Montant payable au créancier

Cochez si la rubrique se poursuit sur une PAGE SUPPLÉMENTAIRE

SUR LE PAIEMENT

TERRITOIRES DU NORD-OUEST

NOM

ADRESSE

CITÉ, VILLE, COLLECTIVITÉ TERRITOIRE/PROVINCE

NOM

ADRESSE

CITÉ, VILLE, COLLECTIVITÉ TERRITOIRE/PROVINCE

aura lieu à la Cour territoriale des Territoires

heure

lieu

Que se passe-t-il à l’audience sur le paiement? Une preuve peut être présentée sur n’importe a. le revenu et l’actif du débiteur; b. les créances et les dettes du débiteur; c. tout revenu ou élément d’actif naissance; d. les moyens dont dispose ou pourra

Le juge peut prescrire un calendrier des paiements a. soit la date limite de remboursement b. soit les montants et les dates des

Qu’arrive-t-il si le créancier ne se présente pas Le juge peut tenir l’audience, l’annuler ou la

Date

FORMULE 25—CONVOCATION À

À L’AUDIENCE SUR LE DÉFAUT

NOM

les nom, adresse ADRESSE de téléphone que vous devant la Cour

CITÉ, VILLE, COLLECTIVITÉ TERRITOIRE/PROVINCE

DANS L’AFFAIRE ENTRE

les noms des NOM sur le

ET

NOM

présence est requise à la Cour territoriale des Territoires du Nord-Ouest

heure Date

lieu

apporter à l’audience sur le défaut un BILAN (formule suivants :

ce que vous la personne

Cochez si la rubrique se poursuit sur une PAGE SUPPLÉMENTAIRE

une copie du J’atteste que le débiteur nommé dans le JUGEMENT datez et le JUGEMENT.

Date

FORMULE 27—ORDONNANCE

TERRITOIRES DU NORD-OUEST

DANS L’AFFAIRE ENTRE

NOM

ET

NOM

ET

NOM

L’ordonnance suivante a été rendue par

Cour territoriale des Territoires du Nord-Ouest

Cochez si la rubrique se poursuit sur une PAGE SUPPLÉMENTAIRE

Date

FORMULE 30— AFFIDAVIT À L’APPUI DU BREF

À L’APPUI DU BREF DE SAISIE-ARRÊT (PENSION

le nom du NOM alimentaire.

le nom du NOM figure sur le

SAISIE-ARRÊT

ALIMENTAIRE).

le nom de la

NOM ou de qui fera l’objet

)

DU NORD-OUEST )

)

MOI, ____________________________, de ______________________,

(COLLECTIVITÉ)

JE DÉCLARE SOUS SERMENT QUE :

la connaissance directe des faits mentionnés dans le présent affidavit, ou de croyances, dont je suis sincèrement convaincu de la véracité.

ordonnance réclamant le paiement de certaines sommes concernant

ce jour, les paiements suivants ont été reçus :

relevé des arriérés (ci-joint comme la « pièce A »)

autres précisions sur le total dû (veuillez annexer tous les documents en commençant par la « pièce B » et ainsi de suite, et en les énumérant

si la rubrique se poursuit sur une PAGE SUPPLÉMENTAIRE (formule 45). Assurez-vous

montant des arriérés en vertu de l’ordonnance alimentaire est de _______________

montant que doit payer le payeur en vertu de l’ordonnance alimentaire,

crois que le tiers-saisi nommé dans le BREF DE SAISIE-ARRÊT (PENSION

(i) _______________________________________________

_______________________________________________; (ii) _______________________________________________

_______________________________________________. (Signature du commissaire aux serments ou du notaire public)

(Nom en lettres moulées du commissaire aux serments ou du notaire public) Timbre du commissaire aux serments ou du notaire public

affidavit doit être souscrit devant une personne autorisée en vertu aux exigences de cette loi.

SI LE PRÉSENT BREF DE SAISIE-ARRÊT (PENSION ALIMENTAIRE) PERMET DE LA PROPRIÉTÉ DE CE COMPTE, vous devez en aviser par écrit le

aux fins de signification du bénéficiaire alimentaire :

:

peut demander à un juge en vertu du paragraphe 21(2) de statuer

ALIMENTAIRE).

32 — DÉCLARATION DU TIERS-SAISI

(PENSION ALIMENTAIRE)

DEVEZ REMPLIR ET DÉPOSER LA PRÉSENTE

EN MATIÈRE CIVILE. LE DÉFAUT DE DÉPOSER

CONTRE VOUS UNE ORDONNANCE

À SON EXÉCUTION CONTRE VOUS EN VERTU

: dette échue ou payable au payeur.

en vertu du BREF DE SAISIE-ARRÊT (PENSION dont le nom et l’adresse sont les suivants

NOM

NOM

NOM

NOM

poursuit sur une PAGE SUPPLÉMENTAIRE (formule

le BREF DE SAISIE-ARRÊT (PENSION ALIMENTAIRE)

poursuit sur une PAGE SUPPLÉMENTAIRE (formule

FORMULE 33 — FEUILLE DE TRAVAIL

DE TRAVAIL (PENSION ALIMENTAIRE)

le nom du NOM alimentaire sur le BREF DE

le nom du payeur NOM sur le BREF DE

NOM le nom de la ou de qui fera l’objet

FEUILLE DE TRAVAIL (PENSION ALIMENTAIRE) VISE À AIDER LE

DU BREF DE SAISIE-ARRÊT (PENSION ALIMENTAIRE) À FAIRE SAISIR

(PENSION ALIMENTAIRE) EN VERTU DE L’ARTICLE 14 DE LA LOI

résidence du payeur est la suivante :

nature et le lieu d’exercice de la profession ou l’occupation du payeur

les détails des sommes payables ̶ ou qui le deviendront ̶ par le compléter par le tiers-saisi alimentaire)

Cochez si la rubrique se poursuit sur une PAGE SUPPLÉMENTAIRE (formule

FORMULE 34—AVIS DE MAINLEVÉE DE LA SAISIE-ARRÊT

DE LA SAISIE-ARRÊT (PENSION

TERRITOIRES DU NORD-OUEST

NOM

NOM

NOM

AU TIERS-SAISI ALIMENTAIRE

ET À LA COUR TERRITORIALE

Il est accordé MAINLEVÉE de la saisie-arrêt daté le __________________ 20______ vous a été vertu de celui-ci.

Signature du alimentaire ou

Adresse

FORMULE 35— BREF DE SAISIE-ARRÊT

(FORMULE GÉNÉRALE)

NOM

ADRESSE

CITÉ, VILLE, COLLECTIVITÉ TERRITOIRE/PROVINCE

NOM

ADRESSE

CITÉ, VILLE, COLLECTIVITÉ TERRITOIRE/PROVINCE

NOM

ADRESSE

CITÉ, VILLE, COLLECTIVITÉ TERRITOIRE/PROVINCE

RÉSUMÉ

a. Date du jugement

b. Montant du jugement

c. Montant non acquitté

d. Montant payable à l’égard de toutes les

LES PARTIES devriez consulter l’article 20 des Règles en matière civile et

fins de signification du créancier ordinaire :

:

FORMULE 36—AFFIDAVIT À L’APPUI DU BREF

L’APPUI DU BREF DE SAISIE-ARRÊT

DES TERRITOIRES DU NORD-OUEST

NOM

NOM

NOM

de _______________________________,

(COLLECTIVITÉ)

DÉCLARE SOUS SERMENT

(PROFESSION OU OCCUPATION) directe des faits mentionnés dans le présent affidavit, ou de croyances, dont je suis sincèrement convaincu de

réclamant le paiement de certaines sommes concernant jugement est jointe comme « pièce A » au présent affidavit.

suivants ont été reçus :

Date

Total

y compris les intérêts de ____________________

du tiers-saisi sont les suivants :

_______________________________________________

_______________________________________________.

tiers-saisi est ou sera endetté envers le débiteur parce que

_______________________________________________

_______________________________________________;

_______________________________________________

_______________________________________________.

de la dette, notamment à savoir si elle porte sur le salaire, pour salaire? [ ] oui [ ] non________________________

_______________________________________________; pour salaire? [ ] oui [ ] non________________________

_______________________________________________.

sont joints comme pièces, identifiez-les d’une lettre en commençant pièce B … »)]

se poursuit sur une PAGE SUPPLÉMENTAIRE (formule 45). Assurez-vous (Signature du commissaire aux serments ou du notaire public)

en lettres moulées du commissaire aux serments ou du notaire public) Timbre du commissaire aux serments ou du notaire public

affidavit doit être souscrit devant une personne autorisée E-8, et être conforme aux exigences de cette loi.

FORMULE 37 — DÉCLARATION DU TIERS-SAISI

DU TIERS-SAISI (FORMULE GÉNÉRALE)

TERRITORIALE DES TERRITOIRES DU NORD-OUEST

le nom du NOM ordinaire.

le nom du NOM

le nom de la NOM ou l’entreprise l’objet de la

les énoncés pertinents :

Je n’ai aucune dette échue ou payable envers le débiteur.

Je reconnais que je dois ou devrez au débiteur la somme de _______________ de _____________ 20__.

(Précisez la nature de la dette et les modalités

Je dois la somme de ________________$ que je consigne à la Cour. prévue dans le BREF DE SAISIE-ARRÊT (FORMULE GÉNÉRALE).)

Je ne suis pas l’employeur du débiteur.

Je reconnais être l’employeur du débiteur et que le débiteur reçoit

$ $

(salaire brut avant retenues) (salaire net après retenues)

Une copie du dernier bordereau de paie se trouve ci-jointe.

J’ai reçu signification d’un autre bref de saisie-arrêt contre le débiteur,

(nom du créancier) (nom du tribunal et du centre judiciaire)

FORMULE 39—AVIS DE MAINLEVÉE DE LA

DE LA SAISIE-ARRÊT (FORMULE

NOM

ADRESSE

CITÉ, VILLE, COLLECTIVITÉ TERRITOIRE/PROVINCE

NOM

ADRESSE

CITÉ, VILLE, COLLECTIVITÉ TERRITOIRE/PROVINCE

NOM

ADRESSE

CITÉ, VILLE, COLLECTIVITÉ TERRITOIRE/PROVINCE

AU TIERS-SAISI, AU DÉBITEUR ET À LA COUR TERRITORIALE

Il est accordé MAINLEVÉE de la saisie-arrêt le __________________ jour de _____________________ autre paiement en vertu de celui-ci.

Signature du ordinaire ou en

FORMULE 40—DEMANDE

À UN JUGE

la DEMANDE À UN JUGE clairement, en ou à l’ordinateur.

ÉTAPE 2

DEMANDE À UN JUGE en l’apportant ou en la greffe de la Cour territoriale. Vous devrez droit. Le personnel déposera l’original au Cour territoriale. Si une audience est requise, du greffe fixera une date d’audience au à compter la date de la DEMANDE ou selon le juge.

ÉTAPE 3

de la Cour territoriale vous enverra ainsi des parties une copie de la DEMANDE À UN Avis de la date et de l’heure de l’audience la DEMANDE À UN JUGE.

urgents, il se peut qu’un juge puisse rendre même si les autres parties n’ont pas reçu de la DEMANDE À UN JUGE et de l’AVIS S’il faut procéder ainsi, assurez-vous la situation dans votre DEMANDE À UN JUGE puisse tenir compte de votre argument.

JUGE

NOM

ADRESSE

CITÉ, VILLE, COLLECTIVITÉ TERRITOIRE/PROVINCE

NOM

ADRESSE

CITÉ, VILLE, COLLECTIVITÉ TERRITOIRE/PROVINCE

NOM

ADRESSE

CITÉ, VILLE, COLLECTIVITÉ TERRITOIRE/PROVINCE

Avec le consentement de toutes les parties (comprend l’ordonnance sur consentement selon la formule 5)

L’auteur de la DEMANDE sollicite une ordonnance

changeant la date de l’instruction devant la territoriale (paragraphe 6(9) des Règles en matière civile);

autorisant la présentation d’un avis de mise contre le tiers (alinéa 7(1)b) des Règles en matière civile);

autorisant le dépôt de la défense suite au dépôt avis de défaut (paragraphe 8(8) des Règles matière civile);

annulant un jugement par défaut (paragraphe des Règles en matière civile);

annulant l’entente et rendant une ordonnannce selon dispositions de l’entente annulée et des dépens (paragraphe 9(13) des Règles en matière civile);

FORMULE 41—AVIS

FORMULE 42—AVIS DE RETRAIT

D’UNE DEMANDE

TERRITOIRES DU NORD-OUEST

DANS L’AFFAIRE ENTRE

NOM

ET

NOM

ET

NOM

Moi, ________________________________________,

(NOM) le __________________ jour de _____________________

Signature pour

FORMULE 43—AVIS DE CONSIGNATION

À LA COUR TERRITORIALE

DANS L’AFFAIRE ENTRE

NOM

ET

NOM

ET

NOM

La somme de ______________________________ par _________________________________________________________

en règlement du montant réclamé dans

en règlement du montant réclamé dans

en règlement du montant réclamé dans

en exécution totale ou partielle d’un

autre (précisez dans l’espace prévu)

Cochez si la rubrique se poursuit sur une PAGE

Date

FORMULE 44—AVIS DE

TERRITOIRES DU NORD-OUEST

DANS L’AFFAIRE ENTRE

NOM

ET

NOM

ET

NOM

Moi, ________________________________________,

DÉCLARATION contre

DEMANDE RECONVENTIONNELLE contre

AVIS DE MISE EN CAUSE contre

FORMULE 45—PAGE SUPPLÉMENTAIRE

DES TERRITOIRES DU NORD-OUEST

DE CONFÉRENCE DE RÈGLEMENT

DE LA DEMANDE/ORDONNANCE

D’INSTRUCTION/ORDONNANCE

JUGE

__________________

SUITE :

Cochez si la rubrique se poursuit sur une PAGE

Initiales Initiales Page _____ de _____:

Initiales Initiales