FORM 4
AN CHÚIRT CHUARDA
THE CIRCUIT COURT
CIRCUIT COUNTY OF
CONSENT TO JUDGMENT
BETWEEN
......................…………. Plaintiff
AND
............…………………. Defendant
The Defendant hereby admits that he is liable to the Plaintiff for the sum of ... or being a portion of the Claim in ...................... as claimed in the Civil Bill served upon him on ......., and consents to the entry of judgment against him accordingly with appropriate costs to date.
Dated this .... day of ....... .
Signed ...................
Defendant/Solicitors for the Defendant
Witness …………................ (if appropriate):