ABSTRACT
Case stated by Justices for the [county of , acting in and for the petty Sessional Division of ], in respect of their adjudication as a magistrates’ court sitting at [ ]
CASE
1. On the day of , 20 , an information [or complaint] was preferred by the appellant [or respondent] against the respondent [or appellant] that he/she (state shortly particulars of information or complaint and refer to any relevant statutes).