FORM 62A

NOTICE OF APPEAL FROM AN ASSOCIATE JUDGE

(OR REGISTRAR OR ASSESSMENT OFFICER) TO A JUDGE

(General Heading — Form 4A or 4B)

NOTICE OF APPEAL

THE (identify party) APPEALS to a judge from the order (or decision or certificate) of (name of associate judge, registrar or assessment officer) made (date).

THE APPEAL WILL BE HEARD ON (day), (date), at (time), or as soon after that as the appeal can be heard, at (address of court house).

THE (identify party) ASKS (state the precise relief sought).

THE GROUNDS OF APPEAL are as follows: (set out briefly the grounds of appeal).

(Date)

(name, address and telephone number
of lawyer or party serving notice)

TO:	(name and address of

lawyer or party on

whom notice is served)