(If the claim is for a debt or liquidated demand only, the following words should be added immediately following the indorsement of the writ.)

And the sum of £                       for costs, and also, in case the Plaintiff obtains an order for substituted service, the further sum of £                       . If the amount claimed is paid to the Plaintiff or his advocate within ten days from the service hereof, further proceedings will be stayed.

(Signed)