Form 49.18A
(rule 49.18(2))
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 Disallowance
TO: A.B., ____________________ Street __________________, Newfoundland and Labrador
TAKE NOTICE THAT on the adjudication of the claims of the creditors and other claimants (or as the case may be) in the above proceeding, the Honourable _______________ Justice _______________, by order dated the __________ day of ____________, 20________, (allowed your claim in the amount of $______________) (disallowed your claim);
AND TAKE NOTICE THAT if you are dissatisfied with the amount allowed or the disallowance of your claim, you must, within ten days from the receipt of this notice apply to the Supreme Court of Newfoundland and Labrador, General Division, for a further rehearing of your claim otherwise the above adjudication will be final and binding upon you.
ADDRESS:                                                                                          
(insert the address of the Supreme Court of Newfoundland and Labrador)

DATED at 					  (city/town) in the Province of Newfoundland and Labrador this 		 (day) of 			 (month), 		 (year).

(signature)
Registrar/Registry clerk