FORM 19C

DEFAULT JUDGMENT

(RECOVERY OF POSSESSION)

(General Heading — Form 4A)

(court seal)

JUDGMENT

On reading the statement of claim in this action and the proof of service of the statement of claim on the defendant filed, and the defendant having been noted in default,

1.	IT IS ORDERED AND ADJUDGED that the defendant deliver to the plaintiff the following personal property:

(Where the number of items is very large, substitute: the personal property described in the attached schedule).

2.	IT IS ORDERED AND ADJUDGED that the defendant pay to the plaintiff the sum of $ for the costs of this action.

(Where costs are to be assessed, substitute: the costs of this action as assessed by the court).

The costs fixed by and payable under this judgment bear interest at the rate of per cent per year from its date.

(Date)	Signed by

Deputy Registrar

Address of court office