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FORM 4A

Form 4A

Courts of Justice Act

general heading of documents — actions

(Court file no.)

ONTARIO

SUPERIOR COURT OF JUSTICE

b e t w e e n:

(name)

Plaintiff

and

(name)

Defendant

(Title of document)

(Text of document)

(For the title of the proceeding in the case of a,

(a) counterclaim against a person who is not already a party to the main action, follow Form 27B;

(b) third or subsequent party claim in an action, follow Form 29A in all documents in the main action and the third or subsequent party action;

(c) garnishment, follow Form 60H; or

(d) mortgage action in which defendants are added on a reference, follow Form 64N.

(For the general heading in a proceeding in an appellate court, follow Form 61B.)

RCP-E 4A (November 1, 2005)