In the District Court of

No.                       of 19            .

Between

A. B.,

Plaintiff,

and

C. D.,

Defendant.

Take notice that the Plaintiff (or Defendant) in this cause requires the Defendant (or Plaintiff) to admit, for the purposes of this cause only, the several facts respectively hereunder specified ; and the Defendant (or Plaintiff) is hereby required, within eight days from the service of this notice, to admit the said several facts, saving all just exceptions to the admissibility of such facts as evidence in this cause.

Dated, etc.

(Signed)                                 

G.D., Advocate for the Plaintiff (or Defendant).

To E. F., advocate for the Defendant (or Plaintiff).

The facts, the admission of which is required, are-

1. That John Smith died on the 1st of January, 1890.

2. That he died intestate.

3. That James Smith was his only lawful son.