Magistrates Court (Civil Jurisdiction) Rules 2004—Form 10 Small Claims Court
(see s 425 (1) and s 451 (1))
Consent judgment application
Application No		of [year], between [applicant] and [respondent].
To the Registrar:
The applicant and the respondent agree that judgment is to be entered against the respondent on the following terms:
* Judgment is to be entered in the following amount:	$	
* The amount of the judgment is to be paid on or before [date]
* The amount is to be paid by installments on the following terms:		
* The following orders are to be made:
Date:
[signed]
Applicant
[signed]
Respondent
[signed by witness]
* Magistrate
* Referee
* Registrar
* Legal practitioner
* Justice of the Peace
* Strike out where inapplicable

Endnotes
1	This form was originally in the Magistrates Court (Civil Jurisdiction) Act 1982 (the authorising Act), schedule 2.  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. 

©  Australian Capital Territory 2005