In the Magistrate's Court for the District/Region of ...................................................................................

held at ............................................. .Case No. ........................................ of 20.........

In the matter between

..................................................................................................................... Applicant

and

................................................................................................................. Respondent

It is ordered:

That the sheriff of the court do attach so much of the ..................................................................................

........................................... (describe the movables) in the ........................................................................

(house, store, as the case may be) situate at .............................................................. (describe the premises) as shall be sufficient to satisfy the sum of R.............. rent and R................ costs.

Further, should the respondent wish to show cause why the order of attachment should not be confirmed, he shall appear before this court on the .............................. day of ............................. 20.........., at ..................... (time) for that purpose.

The aforesaid date may be anticipated by the respondent upon 12 hours' notice to the applicant.

Upon security being given to the satisfaction of the sheriff of the aforesaid court for the amount of the applicant's claim and the costs of the application for attachment, the aforesaid property shall be released from attachment and upon such security being given the order for attachment shall ipso facto be discharged.

Dated at ................................................. this ............................ day of ............................., 20.......,

..................................................................

Registrar/Clerk of the Court

...............................................................................

Applicant/Applicant's attorney

Address

..............................................................................

..............................................................................