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)