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Sample Document M

IN THE BIRKENHEAD COUNTY COURT

BIRKENHEAD

Case No.          

BETWEEN

Mr                                                1st Claimant    

and

Mr                                                2nd Claimant    


WITNESS STATEMENT OF FIRST CLAIMANT

  1. My full name is ……………… and I am the First Claimant in this action.

  2. In or around early March of 1996 myself and my wife, the second Claimant in this action, decided to purchase some new furniture. Having looked at furniture at several retail outlets I noted that there was a purchase option with the Defendant which provided for 100% cashback payment five years after the date of purchase.

  3. On or around the 10th March 2001 I attended at the Defendants the Defendants retail premises. I discussed the cashback purchase option with a sales representative and was advised by him that if the purchase was made with this option then I would receive a full refund five years after the date of purchase.

  4. After visiting the showroom in St. Helens I discussed the purchase with my wife, the second Claimant, in particular the fact that the cashback payment would be made in 2001. Our 25th wedding anniversary is in 2002 and this seemed a good way of making financial provision for any anticipated commemoration of such a significant event.

  5. After considering the representations made by the Defendants representative, on or about the 10th March 1996, I, along with the second Claimant, entered into a contract for the purchase of furniture namely a Balmoral three seater and two seater in leather for the cost of £2,553.00.

  6. On entering into the agreement I signed a Order Number 41810 which stipulated the terms of the agreement including the 100% cashback offer.

  7. The furniture was subsequently delivered on or about the 11th April 1996. A despatch note was also delivered with the furniture which was signed by my wife, the second Claimant. This despatch note also confirms the 100% cashback.

  8. On or about the 20th April 1996 I received a letter from the Defendants confirming the terms and conditions of the cashback offer and enclosing a cashback cheque which was numbered 10546.

  9. On the 25th April 2001 I, and the second Claimant, wrote a letter to the agents for the Defendant to comply with the terms and conditions of the cashback offer. This letter was written within 30 days of the fifth anniversary of the date of purchase and enclosed : -

    • Evidence of registered post return of the perforated registration form;

    • Original numbered cashback cheque;

    • Original order form;

    • Original despatch note;

    • Original confirmation of full payment

    • Original Confirmation from Defendant confirming delivery;

    • Bank statement showing deposit;

    • Bank statement showing payment of balance;

    • Copies of proof of identity for myself and the second Claimant which were passports and driving licences.

  10. I received a letter dated the 10th May 2001 from Extended Guarantees Ltd who referred me to an address in New Jersey.

  11. Having considered the various purchase options available at various or furnishing retail outlets I decided to purchase the furniture from the Defendants in order to take advantage of the cashback option. To date I have received no cashback payment notwithstanding the representations made by the sales representative of the Defendant.


I, the Claimant, believe that the facts stated in this witness statement are true.


SIGNED …………………………………………… PRINT NAME



April 2003

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