RSCC-11-3A-E (2014/01)

ONTARIO Superior Court of Justice Notice of Discontinued Claim

Form 11.3A Ont. Reg. No.: 258/98

Small Claims Court

Address

Phone Number

Claim No.

BETWEEN

Plaintiff(s)

and

Defendant(s)

TAKE NOTICE that the plaintiff discontinues the claim against the following defendant(s) who did not file a defence:Last name, or name of company

First name Second name Third name

Last name, or name of company

First name Second name Third name

Last name, or name of company

First name Second name Third name

Additional defendant(s) listed in attached page (list in same format).

, 20(Signature of plaintiff or representative)

(Name, address and phone number of party or representative)

NOTE: THIS NOTICE must be served on all defendants who were served with the claim, and filed with the court with proof of service. A claim may not be discontinued by or against a person under disability, except with leave of the court.

Les formules des tribunaux sont affichées en anglais et en français sur le site www.ontariocourtforms.on.ca. Visitez ce site pour des renseignements sur des formats accessibles.

Notice of Discontinued Claim Form 11.3A �

RSCC-11-3A-E (2014/01)

RSCC-11-3A-E (2014/01)

Notice of Discontinued Claim Form 11.3A

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               ONTARIOSuperior Court of Justice

Notice of Discontinued Claim

Form 11.3A Ont. Reg. No.: 258/98

BETWEEN

and

TAKE NOTICE that the plaintiff discontinues the claim against the following defendant(s) who did not file a defence:

, 20

NOTE:

THIS NOTICE must be served on all defendants who were served with the claim, and filed with the court with proof of service. A claim may not be discontinued by or against a person under disability, except with leave of the court.

Les formules des tribunaux sont affichées en anglais et en français sur le site www.ontariocourtforms.on.ca. Visitez ce site pour des renseignements sur des formats accessibles.

8.0.1291.1.339988.308172

Notice of Discontinued Claim

Notice of Discontinued Claim

TextField1: Small Claims Court: Address: Phone Number: Claim Number: Between. Plaintiff(s) : and. Defendant(s).: Last name, or name of company: First Name: Name, address and phone number of party or representative: Third name: Additional defendant(s) listed in attached page (list in same format).: Day Month: Year : Signature of plaintiff or representative: (Name, address and phone number of party or representative): Save Form: Print Form: Clear Form: