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CommonForm 28 -- MONETARY JUDGMENT WITH ASSOCIATED

PROTECTION ORDER

Judicial Officer(s):The Honourable Justice…………………………………………….

His/Her Honour Judge …………………………………………….

[Master of the Supreme Court]

Master …………………………………………….

Date(s) of hearing [if any]:………………………………[DD/MM/YYYY]

Date of judgement:………………………………[DD/MM/YYYY]

Appearances:.………………………………Solicitor/Counsel for the Plaintiff(s)

……………………………….Solicitor/Counsel for the Defendant(s)

……………………………….Solicitor/Counsel for [Other Parties]

Recitals[if any]:………………………………………………………………………

[By Consent] THE COURT ORDERS that:

1.The Plaintiff [name] recover from the Defendant (s) the sum of $…….

OR

(as the case may be)

1.The Plaintiffs recover from the Defendant (s) the sum of $………….., to be apportioned between such Plaintiffs as follows:

As to the Plaintiff A the sum of $…………

As to the Plaintiff B the sum of $………...

As to the Plaintiff C the sum of $…………

2.Public Trustee be appointed manager to take possession of and control and manage the said sum of $…………. [apportioned to [Name]] and the affairs of [Name] relating thereto with the powers and duties imposed and given by the Aged and Infirm Persons’ Property Act 1940, or any applicable Rules of Court.

3.The Defendant (s) within 21 days from the date of this order pay to Public Trustee for and on behalf of the said [Name] the sum referred to in paragraph 1 of this order [OR specify particular payments with the balance to Public Trustee].

4.The Defendant (s) pay the Plaintiff’s (s’) costs of action to be taxed or agreed.

5.Public Trustee pay from the moneys held on behalf of the [Name]:

(a)the difference between the solicitor and client costs (to be taxed or agreed) and party and party costs referred to in paragraph 4 of this order.

(b)[set out any further payments required to be made].

6.The protected person may not from the date of this order make any will or testamentary disposition except with the consent and in the presence of Public Trustee.

7.The Plaintiff [Name], Public Trustee and any other interested person may apply for further orders and directions.

[Other text, if applicable]

[Fit for counsel, if applicable]

[Reproduction of Court Seal]This judgement is authenticated by………………………………

for Registrar

Computer File Reference …………………………………….…..