Goods Made at Defendant’s Request, and not Accepted 

In the Court of ………………………………..

KK…………………………….. ……………… resi. ………………………… Plaintiff

against

KM………………………………………….resi………………. ………………..Defendant 

KK……………………………………………………………..……….., the above-named plaintiff, states as follows:- 

1. On the ………………………. day of…………….. /………………. , KM……………..….. agreed with the plaintiff that the plaintiff should make for him [….BEDS……………………….] and that KM……………………… should pay for the goods on delivery…………………………………. Rupees. 

2. The plaintiff made the goods, and on the………….. day of ……………….. /………….. , offered to deliver them to KM……………………………..…., and has ever since been ready and willing so to do. 

3. KM…………………………………….. has not accepted the goods or paid for them. 

[i. Facts showing when the cause of action arose and that the Court has jurisdiction. ] 

ii. The value of the subject-matter of the suit for the purpose of jurisdiction is …………………rupees and for the purpose of Court-fees is ……………………………Rupees., and Relief claimed.] 

Dated : 

Plaintiff 

Through, Advocate

Verification:

I, ………………………………______, do hereby verify that the contents from paras 1 to ______ are correct and true to the best of my knowledge and personal belief and no part of it is false and nothing material has been concealed therein. 

Affirmed at  MURBAD  this ______. 

Plaintiff