Magistrates Court (Civil Jurisdiction) Rules 2004—Form 54
(see s 238 (1))
Request for certificate of judgment for filing in Supreme Court
1	The (judgment creditor) requests the issue of a certificate of judgment in these proceedings for the purpose of filing in the Supreme Court.
2	A writ of execution issued out of the Court was returned unsatisfied on 	20	in whole (or in part).
or
On	20	the Court by order dispensed with the requirement that a writ of execution be issued out of the Court in respect of the judgment and be returned unsatisfied in whole or in part before the certificate applied for may be issued.
3	There now remains due and unpaid under the judgment the sum of 
$           leaving a balance owing of $		.

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