Form 20.03A
(rule 20.03(1))

File number: 20____ ____ G __________ 

IN THE SUPREME COURT OF NEWFOUNDLAND AND LABRADOR
GENERAL DIVISION

BETWEEN:			
	(Plaintiff’s name)	PLAINTIFF	
			
AND:			
			
	(Defendant’s name)	DEFENDANT	
			
 (Modify title of proceeding as necessary.)

Notice of Acceptance of Money Paid into Court

TAKE NOTICE that the plaintiff(s), (insert name(s)), accept(s) the sum of $(insert dollar amount) paid by the defendant(s), (insert name(s)), into Court in satisfaction of the cause(s) of action for which it was paid in and agrees that all further proceedings relating to the specified cause(s) of action shall be discontinued.

DATED at _____________ (city/town), _______________________ (province or, if outside of Canada, country), on the ________ (day) of __________________ (month), ________ (year). 
__________________________
(Signature)
Plaintiff/Solicitor for Plaintiff 

Whose address for service is: 
(Insert address for service)
Newfoundland and Labrador

TO:	(Each party or the solicitor for the party)
(Insert address)