Application for suspension of a
warrant and/or variation of an order
Name of court Claim no.
Fee account no.
(if applicable)
Help with Fees – Ref. no.
(if applicable)
H W F
– –
Warrant no. Local no.
Claimant’s name
(including ref.)
Defendant’s name (including ref.)
Read these notes carefully before completing the form.
• Tic
k the correct boxes and give as much information as
you can. It will help the court make a fair decision about
how much you can afford to pay if the claimant refuses
your offer.
• If you do not complete all the details and sign the form, the
court will not be able to deal with your application.
• The form will be sent to the claimant to consider your offer.
• The court will send you an order giving details of how and
when to pay or will tell you when to come to court. You will
be informed of the court’s decision.
• You will have to pay a fee for your application. You can get
details of the fee to pay and information about what to do
if you cannot pay all or part of a fee from any county court
ofce.
I cannot pay the amount ordered and
I wish to apply for
suspension of the warrant
and/or
a reduction in the instalment order
1 Personal details
Surname
Forename
Mr Mrs Miss Ms
Married Single Other
(specify)
Age
Address
Postcode
2 Dependants (people you look after nancially)
Children (under 19)
Age Date of Birth
Others (give details)
Daytime telephone
(If more continue on a separate sheet)
3 Employment
I am employed as a
My employer is
Jobs other than
main job
(give details)
I am self employed as a
Annual turnover is
I am not in arrears with my national insurance
contributions, income tax and VA
T
I am in arrears and I owe
Give details of:
(a)
(b)
contracts and
other work in hand
any sums due
for work done
£
£
I have been unemployed for
years months
I am a pensioner
4 Bank account and savings
I have a bank account
The account is in credit by
£
The account is overdrawn by
£
I have a savings account or building society account
The amount in the account is
£
5 Property
I live in
my own property
jointly owned property
rented property
lodgings
council
property
N245 Application for suspension of a warrant and/or variation of an order (01.19) © Crown copyright 2019
