This legislation has been repealed.
(Clause 3)
Property (Relationships) Act 1984
Property (Relationships) Regulation 2000
(Clause 5)
* Please cross out any text that does not apply
[lhrule]
Application
* for adjustment of interests with respect to property
* for an order for maintenance
between:
Applicant
Addressand
Respondent
Address
Please take notice
that I,
apply to the Local Court atin New South Wales for:
* an order under Division 2 of Part 3 of the Property (Relationships) Act 1984 to adjust interests with respect to property, namely (please identify the property concerned):
* an order under Division 3 of Part 3 of the Property (Relationships) Act 1984 of maintenance, namely (please specify if periodic or lump sum maintenance):
* an order (please specify nature of order):on the following grounds:
*1 A domestic relationship *exists/existed between me and the respondent (please state period of relationship):
*2 I made a *financial/non-financial contribution towards the acquisition, conservation or improvement of the property referred to above, in that (please set out details of the contribution):
*3 My contributions include contributions made in the capacity of *homemaker/parent to the welfare of the family (please state names of child or children and birth dates):
*4 I am unable to support myself adequately by reason of having the care and control of *a child/children, namely (please state name and age of child or children and, if they have any physical or intellectual disability, details of the disability):
*5 I am unable to support myself adequately because my earning capacity has been adversely affected by the circumstances of the relationship (please give details):
Signature of applicant
Date signed
[lhrule]
Notice of hearing
To the respondent
c/o Clerk of the Court at
Please take notice
that the above application has been set down for hearing at the Local Court
atin New South Wales
on theday of20at 10 am.
Property (Relationships) Act 1984
Property (Relationships) Regulation 2000
(Clause 11)
[lhrule]
Acknowledgement of service
Title of proceedings
I (full name and occupation)
of (address)
acknowledge that on theday of20
I received copies of the following documents:
(a) application for
(b)
I also acknowledge that I am the person referred to in the application as the respondent.
My signature
Date signed
Property (Relationships) Act 1984
Property (Relationships) Regulation 2000
(Clause 11)
* Please cross out any text that does not apply
[lhrule]
Affidavit of proof of signature
Title of proceedings
I (full name and occupation)
of (address)
*swear/affirm that:
1 The signature on the photocopy of the acknowledgment of service attached to this form and marked "A" is the signature of (full name of person)
2 I am able to identify the signature because (please set out manner of identification)
Signature of deponent
This affidavit was *sworn/affirmed by the deponent at
on theday of20before me:
Signature of witness
Title of witness
Property (Relationships) Act 1984
Property (Relationships) Regulation 2000
(Clause 12)
* Please cross out any text that does not apply
[lhrule]
Affidavit of personal service
Title of proceedings
I (full name and occupation)
of (address)
*swear/affirm that:
1 On theday of20
I served (full name of person)
with a sealed copy of the application filed in the proceedings referred to above by delivering it to that person personally at (address)
*2 Attached and marked with the letter "A" is an acknowledgment of service signed in my presence by the person served.
3 The means by which I established that the person to whom the application was delivered was the person required to be served with the application were as follows (please set out the means by which you identified the person served)
Signature of deponent
This affidavit was *sworn/affirmed by the deponent at
on theday of20before me:
Signature of witness
Title of witness
Property (Relationships) Act 1984
Property (Relationships) Regulation 2000
(Clause 12)
* Please cross out any text that does not apply
[lhrule]
Affidavit of service by post (by hand or mail)
Title of proceedings
I (full name and occupation)
of (address)
*swear/affirm that:
1 On theday of20
I posted to (full name of person)
a sealed copy of the application filed in the proceedings referred to above by posting it at (place of posting)
in one envelope addressed to that person at (address)
*2 In the same envelope, I posted a form of acknowledgment of service.
3 Attached and marked with the letter "A" is the form of acknowledgment of service I received by (please state how received):
Signature of deponent
This affidavit was *sworn/affirmed by the deponent at
on theday of20before me:
Signature of witness
Title of witness
Property (Relationships) Act 1984
Property (Relationships) Regulation 2000
(Clause 20)
* Please cross out any text that does not apply
[lhrule]
Certificate of order for payment of periodic maintenance
In the Court of
Applicant
Name of person in whose favour the order was made
Address
Respondent
Name of person ordered to pay periodic maintenance
Address
Abstract of Order
1 The application under section 27 of the Property Relationships Act 1984 was heard on theday of20
2 The Court ordered that the respondent pay maintenance of $a week to the applicant.
3 The payments of maintenance are to be made to the *applicant/Registrar/Clerk of the Court.
4 Order for payment of maintenance takes effect from
with the first payment being made on or before
5 Payments of maintenance are to continue until further order of the Court or otherwise in accordance with the provisions of the Property (Relationships) Act 1984 .
Other relevant particulars
(eg name, birth date of any child and details of any physical or intellectual disability)
I certify that this certificate correctly states particulars of an order made in this Court.
Dated thisday of20
Signed
(*Prothonotary/Clerk of the Court)
Property (Relationships) Act 1984
Property (Relationships) Regulation 2000
(Clause 21)
* Please cross out any text that does not apply
[lhrule]
Certificate of amounts paid under order for periodic maintenance
In the Court of
Applicant
Name of person in whose favour the order was made
Address
Respondent
Name of person ordered to pay periodic maintenance
Address
I certify that the amount which according to the records of this Court has
been paid under the order made in the proceedings between the applicant and
the respondent
on theday of20
is $, and that the amount that according to those records remains unpaid at
this date is $
Dated thisday of20
Signed
(*Clerk of the Court/Registrar)
Property (Relationships) Act 1984
Property (Relationships) Regulation 2000
(Clause 25)
[lhrule]
Certificate for the purposes of section 47 (1) (d)
I
solicitor, certify that, in relation to an agreement in writing proposed to be
entered into between
and(
"the parties" ),
I advised(
"my client" ),
independently of the other party and before the time at which my client signed
the agreement, of the following matters:
1 the effect of the agreement on the rights of the parties to apply for an order under Part 3 of the Property (Relationships) Act 1984 ,
2 the advantages and disadvantages, at the time that the advice was provided, to my client of making the agreement.
Dated thisday of20
Signed
(Solicitor)