FORM 6B(iii)

 

AN CHÚIRT CHUARDA
THE CIRCUIT COURT


CIRCUIT                                                                                                                             COUNTY OF                    

 

ACCEPTANCE OF SUM TENDERED TO THE PLAINTIFF

 

BETWEEN
...........………. Plaintiff
AND

...............…. Defendant

TAKE NOTICE that the Plaintiff accepts the sum of ............ tendered by you in satisfaction of the claim in respect of which it is tendered.
 

Dated:
 

Signed:
 

To: (The Defendant or qualified party or his Solicitor)