Sample on Dishonoured Cheque

HCA No. _______ of 200__

IN THE HIGH COURT OF THE

HONG KONG SPECIAL ADMINISTRATIVE REGION
COURT OF FIRST INSTANCE
ACTION NO._______OF 200__
__________

BETWEEN

Plaintiff
AND

Defendant
__________

STATEMENT OF CLAIM

1. The Plaintiffs claim against the Defendant is for the sum of

HK$_____________, being the amount of a cheque no. _______ (the

Cheque) drawn by the Defendant on the ___________ Bank dated

___________ and payable to the Plaintiff.

2. The Cheque was duly presented for payment at the _____________ Bank

on _____________ but was returned dishonoured for the reason

_____________________________.

3. Notice of dishonour was given to the Defendant in writing dated

___________.

4. Alternatively, notice of dishonour was dispensed with by reason of the

cheque being returned with the stated reason of refer to drawer or by

virtue of section 50(2) of the Bills of Exchange Ordinance, Cap. 19 for

reason that
[specify any of the following reasons:
(a) after the exercise of reasonable diligence, notice could not be

given to or did not reach the drawer sought to be charged;

(b) by waiver, express or implied;
(c) the drawer was the same person to whom the bill was

presented for payment;

(d) the drawee or acceptor was, as between himself and the drawer,

under no obligation to accept or pay the Cheque;

(e) the drawer has countermanded payment.]

5. The Plaintiff is entitled to claim interest pursuant to section 57(a)(ii) of the

Bills of Exchange Ordinance, Cap. 19.

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AND THE PLAINTIFF CLAIMS:
(1) The sum of HK$_______________;
(2) Interest on the said sum pursuant to section 57(a)(ii) of the Bills of

Exchange Ordinance, Cap.19 from [the date of presentment of the Cheque]

to the date of judgment and thereafter at judgment rate until payment;

(3) Costs.

I / The Plaintiff believe(s) that the facts stated in this Statement of Claim are
true.

Dated the ______ day of ___________, 200__.

[Signed]
[Name]
Plaintiff in person

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 HCA No.________ of 200__

IN THE HIGH COURT OF THE

HONG KONG SPECIAL ADMINISTRATIVE REGION
COURT OF FIRST INSTANCE
ACTION NO._______OF 200__
__________

BETWEEN

Plaintiff

AND

Defendant
__________

_________________________________

STATEMENT OF CLAIM
_________________________________

Dated :

Filed on :

[Name]
Plaintiff in person
Address for Service