DECLARATION OF RECEIPT OF LAWFUL DOCUMENTS INTO COURT

We, the undersigned do hereby confirm and acknowledge that the following lawful documents were entered into the [TOWN] MAGISTRATES COURT this day, Monday, 18 January 2010. These documents were entered in reference to case number [CASE NUMBER] The documents that were duly entered are as follows:1. Statutory Declaration of [First Name]: of the [Last Name] Family 2. A Copy of a Proof of Claim Letter sent to [Insert Name], CEO of [Insert County Council Name], sent by [First Name]: of the [Last Name]. 3. A Copy of the Notice of Understanding, Intent of Claim of Right and Fee Schedule of [First Name]: of the [Last Name]. 4. A Copy of a report from Dun & Bradstreet showing that the Magistrates Courts are a Trading Style of the Company known as Ministry of Justice, Showing named Directors and County Court Judgements against this company. 5. A copy of the Conditional Offer made to [Insert District Council Name] by [First Name]: of the [Last Name] Family in respect of an alleged debt for Council Tax. We do hereby confirm that these lawful documents are now duly entered into the court in respect of the case number shown above. Signed: ........................................................... For and on Behalf of [TOWN] MAGISTRATES COURT Name: Position: ........................................................... PRINT NAME ...........................................................

Please affix the Court Stamp here:-