Form 1
[Sections 5 and 7]
APPLICATION FOR WARRANT
To* — (a)
a judicial officer of the Supreme/District Court.
(b) a
magistrate/justice.
I,
.............................................................................................................................
of
............................................................................................................................
the undersigned applicant say that
......................................................................... of
............................................................................................................................
(hereinafter described as the debtor) is indebted to me in the sum of
$................, and ask that a warrant be issued preventing the said debtor
from leaving the State.
Attached hereto is my affidavit in support of this application.
If a warrant is issued I undertake to notify the court forthwith upon payment
of the claim or provision of security for the payment of the claim.
........................................................
Applicant
........................................................
Date
*See section 5 and delete that which is not applicable.
Form 2
[Sections 6, 7 and 15]
WARRANT FOR ARREST OF DEBTOR
To all non‑commissioned officers and constables in the Western
Australian Police Force.
WHEREAS
............................................................................................................
of
............................................................................................................................
(hereinafter described as the debtor) appears to be indebted to
............................. of
............................................................................................................................
(hereinafter described as the applicant) in the sum of $....................,
for debt and $.................... for costs and the applicant has applied
under section ..................... for a warrant for the debtor to be
arrested and brought before the court specified hereunder.
YOU are hereby required —
(a) to
arrest the said debtor, and to lodge him in the custody of the officer in
charge of the nearest police station;
(b) to
serve the debtor with a copy of this warrant and where the warrant was issued
under section 6 or 7 a copy of the application upon which the warrant was
issued and any further affidavit in support of the application.
This warrant further requires you the officer in charge of that police station
to cause the debtor (unless he may otherwise be lawfully released) to be
brought before the specified court within 24 hours of receiving the
debtor into custody or as soon as is practicable thereafter.
The debtor shall be forthwith released from custody —
(a) if
he —
(i)
tenders to the applicant, in a form acceptable to the
applicant, the amount of money specified above and the costs so specified;
(ii)
gives security to the satisfaction of the applicant for
the payment of the moneys in this warrant; or
(iii)
pays to the officer in charge of the police station for
deposit with the specified court the amount of money specified in this warrant
to abide the determination of the claim; or
(b)
if —
(i)
the applicant consents in writing to the release of the
debtor; or
(ii)
a court directs the release of the debtor.
Specified court ........................................................
Dated at on 20 .
........................................................
Judicial Officer
Magistrate
Justice
Endorsement.
This warrant was executed by me at am/pm on
20 , at
.
Signed ........................................................
Police number ..............................................
Form 3
[Section 6]
SUMMONS
To
...........................................................................................................................
of
............................................................................................................................
WHEREAS it has been alleged by
........................................................................
.............................................................. of
.............................................................
..................................................................................
(hereinafter described as the applicant) that you are indebted to him in the
sum of $................, and the sum of $..............., for costs, and that
you are about to leave the State and an application has been made for a
warrant to issue for the purpose of preventing you from leaving the State:
YOU ARE hereby summoned to attend the court specified below on the date and at
the time indicated to answer the allegation.
If you fail to attend in response to this summons a warrant may issue for your
arrest.
However, you are not required to appear if —
(a) you
have tendered to the applicant the amount of money specified above; or
(b) you
have given security to the satisfaction of the applicant for the payment of
the money so specified; or
(c) you
have deposited with the court specified herein the amount of money referred to
above, to abide the determination of the claim.
At the hearing the court may with your consent, and that of the applicant,
hear and determine the claim for the alleged debt whether it otherwise has
jurisdiction or not, or decline to hear it, or make an order for costs.
The place, date and time of attendance are
............................................................ court
............................................ 20 , ..................
am/pm.
Signed at on 20 .
........................................................
Judge, Magistrate,
Justice
Form 4
[Section 10]
NOTICE
To * the Registrar Supreme/District
Court/Magistrates Court
at
........................................................
In the matter of
....................................................................................
(applicant) and
......................................................................................
(hereinafter described as the debtor).
WHEREAS a summons pursuant to section 6 was issued to the debtor
requiring his appearance in your court
on
........................................................
at
........................................................
NOTICE is hereby given that the debtor has —
*(a) tendered to me in
an acceptable form the amount of money specified;
*(b) given security to
my satisfaction for the amount specified.
Dated 20 .
........................................................
Applicant
*delete as appropriate.
[Form 4 amended: Gazette 31 Jul 2007
p. 3804.]
Form 5
[Section 13]
RETURN TO WARRANT WHERE DEBTOR RELEASED
In the matter of
.......................................................................................
applicant and
......................................................................................
(hereinafter described as the debtor.)
Whereas the debtor has been detained in my custody pursuant to a warrant
issued under section ........................... and dated
........................... 20 ,
and
whereas —
*(a) the debtor
has —
*(i) tendered to the
applicant;
*(ii) given security
to the applicant; or
*(iii) paid to me for
deposit with the court,
the sum of $ (being the amount claimed plus costs);
or
*(b) the applicant has
consented in writing to the release of the debtor,
the debtor is entitled to be released from custody, and has accordingly been
released from custody.
To Registrar
Court
........................................................
Signature
Officer in
charge
Police Station
*delete as appropriate.
[Form 5 amended: Gazette 31 Jul 2007
p. 3804.]
Form 6
[Sections 14, 16, 18, 19, 20 and 22]
ORDER
Whereas
..................................................................................................................
of
............................................................................................................................
(hereinafter described as the debtor) has been brought before me pursuant to
the application of
.........................................................................................................
of
............................................................................................................................
(hereinafter called the applicant) under section
..................................................... and having heard the
parties,
It is ordered
Dated at on 20
........................................................
Judge, Magistrate,
Justice
Form 7
[Section 16(4)]
TO: The Officer in charge of police at
................................................................ and all other
non‑commissioned officers and constables in the Western Australian
Police Force.
Whereas
..................................................................................................................
of
............................................................................................................................
(hereinafter described as the debtor) was on
..........................................................
........................................................... released from
custody pursuant to an order made under section 14 or Part V.
That order for release having now been revoked by me, the debtor is to be
detained in custody until he can again be taken before the court.
........................................................
Judge, Magistrate,
Justice
Form 8
[Section 17]
APPLICATION FOR RESTRAINING ORDER
To * ........................................................ Court
*(a) being the court
where proceedings in respect of the alleged debt to which the application
relates have been commenced;
*(b) in any other
case, being a court in which proceedings might be commenced in respect of the
alleged debt to which the application relates.
(Insert appropriate court and delete (a) or (b) as the case may be)
I,
.............................................................................................................................
of
............................................................................................................................
(hereinafter described as the applicant) say that
.................................................... of
........................................................ (hereinafter
described
as the debtor) is indebted to me in the sum of $ , and hereby
apply for an order:
(a)
restraining the transfer of
........................................................................
.................................................................................................................
being property of the debtor that is situated in the State; or
(b)
restraining the removal from the State of
...............................................
.................................................................................................................
being property of the debtor that is situated in the State.
Attached hereto is my affidavit in support of this application.
........................................................
Applicant
........................................................
Date