Northern Territory Consolidated Acts

JUSTICES ACT - SCHEDULE 3

Schedule 3

sections 22, 57 and 57A

NORTHERN TERRITORY OF AUSTRALIA

JUSTICES ACT

SUMMONS TO A PERSON ON COMPLAINT

To                         of

    Whereas you have this day been charged by

of                         before the undersigned, a Justice of the Peace for the Northern Territory of Australia, for that on the day of , 20 , at , in the Northern Territory of Australia you did .

    These are therefore to command you to be and appear on day the day of 20 , at o'clock in the noon, at

in the said Territory before me or such other Justice or Justices of the Peace for the said Territory as may then be there, to answer the said charge, and to be further dealt with according to law.

Dated this day of , 20 , at in the said Territory.

Justice of the Peace

    You must either appear in Court on the date shown to plead guilty or not guilty or, if you prefer that the Court should take your plea of guilty without your going to Court, you must sign the "Endorsement" hereunder and deliver it to the Court where this summons requires you to appear or to the nearest police station in the Northern Territory.

Endorsement

    I have read the terms of the charge against me herein specified and I acknowledge my commission of the offence charged and plead guilty thereto.

    I offer the following explanation for the acts alleged in the summons to be an offence:

AFFIDAVIT OF SERVICE

    I of

make oath and say that I did on the day of 20 , between the hours of and in the noon, at

in the Northern Territory duly serve the within-named defendant with this summons by delivering 2 copies of the summons to him personally [or by leaving 2 copies of the summons with him at his last-known place of abode (or of business) with some other person apparently an inmate of that place (or employed in that place) and apparently not less than 16 years of age].
Made at [place]___________________________ on [date] ________________
By [signature] ______________________________________________________
Witnessed by
Signature ____________________________________________________
    Justice of the peace / commissioner for oaths
Name _______________________________________________________

Address or phone no. ___________________________________________