Magistrates Court (Civil Jurisdiction) Rules 2004—Form 57
(see s 241 (1))
Application by bailiff for interpleader relief
In the Magistrates 	No			20    .
Court at Canberra	Writ No	    20    .
	Between
	Judgment Creditor
	and
	Judgment Debtor
As bailiff, I have taken or intend to take in execution under a writ of execution the following money or goods, namely:
A claim to the money or goods or to the proceeds or value of the goods has been made by
of
I apply for relief by way of interpleader in this matter.
Dated	20     .

					Bailiff

Endnotes
1	This form was originally in the Magistrates Court (Civil Jurisdiction) Act 1982 (the authorising Act), schedule 1.  Under amendments made by the Legislation (Consequential Amendments) Act 2001, the form was omitted from the authorising Act and became a form approved under section 471 of that Act (see amdt 1.2791, amdt 1.2793).
2	Under the Court Procedures Act 2004 A2004-59, pt 8, this form became a form approved under that Act.
3	This republication includes amendments made under the Legislation Act, part 11.3 (Editorial changes).

©  Australian Capital Territory 2005