Circuit Court Forms

FORM 6A(iv)

NOTICE OF OFFER OF TERMS OF SETTLEMENT

O. 5A, r. 10

AN CHÚIRT CHUARDA
THE CIRCUIT COURT

CIRCUIT                                                                                                             COUNTY OF

Record No.

Between

A.B.

Plaintiff

AND

C.D.

Defendant

TAKE NOTICE that for the purposes of section 17 of the Civil Liability and Courts Act 2004 the *plaintiff/defendant is willing to settle the above-entitled action upon the following terms:

TERMS OTHER THAN THOSE AS TO COSTS:

TERMS AS TO COSTS

[or]

TAKE NOTICE that for the purposes of section 17 of the Civil Liability and Courts Act 2004 the defendant is not prepared to pay any sum of money to the plaintiff in settlement of above-entitled action.

Signed:_______________

Date:

*Delete whichever inapplicable