FORM 171D - Rule 171

COUNTERCLAIM AGAINST PARTIES TO MAIN ACTION ONLY

(Include the counterclaim in the same document as the statement of defence and entitle the document STATEMENT OF DEFENCE AND COUNTERCLAIM. The counterclaim follows the last paragraph of the statement of defence.)

                                                         COUNTERCLAIM

	The defendant (name if more than one defendant) claims: (State here the precise relief claimed.)

(Then set out, in separate, consecutively numbered paragraphs, each allegation of material fact relied on to substantiate the counterclaim. Continue the numbering sequence initiated in the statement of defence.)

(Date)

______________________________
(Signature of solicitor or defendant)
(Name, address, telephone and fax number of solicitor or defendant)

TO: (Names and addresses of other solicitors or parties)