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My Reference can be any name or number and can be used by you to identify this filing.

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Please Note:

The following documents must be lodge prior to filing  form 21A

1. Affidavit of service

2. Overreaching obligations certification or Certification on prior overreaching obligations certifications

3. Proper basic certification

Default Order

Details

Breach

Non-Monetary Claim*

Claim

Claim Amount $*

Less amounts paid since claim $

Non-Monetary Claim

Claim Amount $*

Service Details

Number of service attempts

Distance travelled for service to be affected (km)

Was the complaint, counterclaim, or third party notice serve personally?

Cost

Professional Cost $

Claim Amount $*

Distance Fee $

Default Lodgement Fee $

Default Professional Cost $

Fee of Claim $

Attempted Service Fee $

Search Type

Search Fee $

Service Type 

Service Fee $

Other Cost

Necessary Affidavits

Necessary Affidavits Details

(1)

Other Cost

Other Cost Details

Interest

Manual interest calculation required

From (DD/MM/YYYY)

To (DD/MM/YYYY)

Principal Amount $

Percentage

Manual interest calculation required

Filed By

Party Type

Representing

Subcase

Owners Corporation

Plaintiff

RC & CO (Legal Firm)

Complaint filed by Owners Corporation 1 Plan No. PS539595J, & Ors.

Representation

Party Type

Party Type

Representing

Legal Firm

Owners Corporation

Filed Against

Party Type

Representing

Subcase

Percentage

Percentage

Percentage

Related Documents

Name

Status

Filed By

Refers To

Related To

Subcase

Percentage

Percentage

Percentage

Percentage

Percentage

Percentage

Mandatory Documents

Mandatory Document (1)

Code / Name*

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Optional Document

When Filing:

Application for order in default of defense from 21A (DOR)

When Filing:

Affidavit of verification (AFFV)

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Fee Information

Are you applying for a fee waiver?*

Applicable Fee

Fee payer type

Electronic Signature Consent

By selecting this box, I consent to my electronic signature being affixed to this document to satisfy the requirements for the requirement for the signing of this document in accordance to the Electronic Transaction Act 2000 (Vic)

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