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Rule 6(2)
[Heading as in action]
Take notice that—
The defendant has paid £ into court.
The said £ is in satisfaction of [the cause of action] [all the causes of action] in respect of which the plaintiff claims [and after taking into account and satisfying the above-named defendant’s cause of action for in respect of which he counterclaims].
or
The said £ is in satisfaction of the following causes of action in respect of which the plaintiff claims, namely, [and after taking into account as above].
or
Of the said £, £ is in satisfaction of the plaintiff’s causes[s] of action for [and after taking into account as above].
For cases where the Social Security (Recovery of Benefits) (Northern Ireland) Order 1997 applies so that the payment in, following acceptance by the plaintiff, would be a compensation payment as defined by Article 3 of that Order add the following particulars—
The gross amount of the compensation is £.
The defendant has reduced this sum by £ in accordance with Article 10 of and Schedule 2 to the Social Security (Recovery of Benefits) (Northern Ireland) Order 1997 calculated as follows:
Name of Benefit Amount
Accordingly, £ is the net sum paid into court.
Dated the day of
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