A.B., the above named plaintiff, states as follows:–
1. The plaintiff is, and at the time hereinafter mentioned was, possessed of [a house in the village of…..]
2. He was entitled to a right of way from the [house] over a certain field to a public highway and back again
from the highway over the filed to the house, for himself and his servants [with vehicles, or on foot] at all
times of the year.
3. On the …………….. day of…….. 20 ……, defendant wrongfully obstructed the said way, so that the plaintiff
could not pass [with vehicles, or on foot, or in any manner] along the way [and has ever since wrongfully
obstructed the same.]
4. (state special damage, if any).
[As in paras 4 and 5 of Form No. 1, and relief claimed.]