Sample notice to plead facts - money claims (Form 16)
This is an example of a completed notice to plead facts - money claims. It is important to complete this form using your own details and based on your own circumstances. If you need more help to fill in your form, get legal advice. Do not try to file this sample form at court.
This sample form is provided in Word 
format.
This sample form is based on the following case study:
Case study - Meena and Fantastic Florists
Meena runs a small business from home, doing website design and IT support for other small businesses. One of her regular clients, Fantastic Florists, has failed to pay her invoice in the amount of $4,000 for the website she built. Meena sent a couple of reminder letters but there has been no response. She tried to contact Fiona from Fantastic Florists by telephone but could not reach her. Fiona was served with a statement of claim for money owed but the statement of claim did not have any details about the claim. Fiona filed a notice to plead facts in court within 28 days.