Schedule 1 Forms

Schedule 1 Forms

sections 11, 12 and 15

Form 1 Certificate of order for payment of periodic maintenance

Property (Relationships) Act 1984

* Please cross out any text that does not apply

In the Court of—

Applicant

Name of person in whose favour the order was made—

Address—

Respondent

Name of person ordered to pay periodic maintenance—

Address—

Abstract of Order

1 The application under the Property (Relationships) Act 1984, section 27 was heard on the [date].

2 The Court ordered that the respondent pay maintenance of $[amount] a week to the applicant.

3 The payments of maintenance must be made to the *applicant/registrar of the Court.

4 Order for payment of maintenance takes effect from—
with the first payment being made on or before—

5 Payments of maintenance must continue until further order of the Court or otherwise in accordance with the provisions of the Property (Relationships) Act 1984.

Other relevant particulars

(e.g. name, birth date of any child and details of any physical or intellectual disability)

I certify that this certificate correctly states particulars of an order made in this Court.

Dated this day of 20 .

Signed—
(*Prothonotary/registrar of the Court)

Form 2 Certificate of amounts paid under order for periodic maintenance

Property (Relationships) Act 1984

In the Court of—

Applicant

Name of person in whose favour the order was made—

Address—

Respondent

Name of person ordered to pay periodic maintenance—

Address—

I certify that the amount that according to the records of this Court has been paid under the order made in the proceedings between the applicant and the respondent on the [] is $[] and that the amount that according to those records remains unpaid at this date is $[].