Magistrates Court Act 1930—Form 3

Information in all other cases
Australian Capital Territory, 
to wit.
The information of CD, of                            , in the Territory                        , laid this                          day of                        , 20    , before the undersigned, a magistrate of the Territory, who says that on 
the                 day of                           , 20    ,
at                                              (etc stating the offence or subject matter).
Sworn (or laid) before me on the day of the year firstmentioned,
at                                            , in the Territory.
	[Signature]
	Magistrate

The causes of complaint in civil cases may be stated as follows:
For that you assaulted AB by [state nature of assault].
For that certain goods of AB are detained by you. 
For that you on the                                day of                          , at                 
                              , in the                                         , were indebted to AB in the sum of                                   (on balance of accounts).
For goods then and there bargained and sold to you by AB and
For goods then and there sold and delivered to you by AB
For money then and there lent to you by AB and interest thereon.
For money paid by AB for you at your request.
For money received by you for the use of AB
For work and labour then and there done by AB for you at your request and 
For the use and hire of divers chattels [or beasts] by AB then and there let to hire and delivered to you at your request and
For work and labour then and there done and materials for the same then and there provided by AB for you at your request and
For the use and occupation of certain land [house or apartments] of AB by you at your request and by the permission of AB then and there held and enjoyed and
For board and lodging then and there provided and supplied by AB for and to you at your request and
For feeding and taking care of horses [sheep or cattle] by AB then and there fed and taken care of for you at your request and
For warehouse room then and there found and provided by AB in and about the storing and keeping of goods and chattels by AB for you at your request and
For the carriage of goods and chattels by AB then and there carried for you at your request.
For the amount of a cheque drawn by you on the Bank of                               dated                                  or for the amount of a bill of exchange dated the
                           day of                            , now overdue, and directed by the complainant to you, and requiring you to pay to the complainant (insert amount)                               months after date, which was accepted by you, but was not paid, or for the amount of your promissory note dated
                            , payable                 months after date, and interest thereon.
For money due to AB on account stated.
For that certain of your cattle, to wit, (11 cows), trespassed on the land of AB

Endnotes
1	This form was originally in the Magistrates Court Act 1930 (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 256 of that Act (see amdts 1.2764 and 1.2769). 
2	Under the Court Procedures Act 2004 A2004-58, 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