STATE OF INDIANA
)
IN THE ALLEN SUPERIOR COURT
) SS:
SMALL CLAIMS DIVISION
COUNTY OF ALLEN
)
FORT WAYNE, INDIANA
______________________________________________
CASE NUMBER:
Plaintiff(s)
VS.
AFFIDAVIT AND ORDER
FOR FINAL JUDGMENT OF
POSSESSION BY DEFAULT
______________________________________________
Defendant(s)
Plaintiff now appears and states that to the best of its (his/her) knowledge:
1. Service of the Notice of Suit occurred under such circumstances as to establish a reasonable probability that Defendant(s) receive
such notice;
2. The Defendant(s) is (are) not in the military service of the United States, is (are) neither incompetent, nor under a legal disability,
and has (have) sufficient understanding to realize the nature and effect of the Notice of Suit.
3. The Defendant(s) has (have) not appeared or answered the Notice of Suit herein filed.
Plaintiff(s) is (are) therefore entitled to final judgment against the Defendant(s) for possession of the real estate located in Allen County,
Indiana, at ___________________________________________________________________________________________________.
I affirm, under the penalty of perjury, that the foregoing representations are true.
Date: __________________________________________
____________________________________________________
Plaintiff / Attorney for Plaintiff
______________________________________________
Street Address of Plaintiff / Attorney for Plaintiff
_______________________________________________
City, State
Zip Code
______________________________________________
Telephone Number
Supreme Court ID Number
JUDGMENT ORDER AND NOTICE TO DEFENDANT(S)
Plaintiff(s) appear(s) and makes proof of service of Notice of Suit on Defendant(s); Defendant(s) is (are) called and defaulted. Cause
submitted and evidence heard. Finding and final judgment for ___________________________________________________________
Name(s) of Prevailing Party(ies)
and against __________________________________________________________________________________________________
Name(s) of Party(ies) being Rendered Against
for possession of ___________________________________________________________________________________, Allen
County, Indiana. This order is to expire on _________________________________. Defendant(s) is (are) further notified that a trial
on the issues of rent owed and any damages is set for ________________________________ at __________ o’clock ___.M. in
the Allen Superior Court Small Claims Division, 1 West Superior St., Fort Wayne, IN 46802. FAILURE TO APPEAR ON THAT
DATE AND TIME WILL RESULT IN AN ENTRY OF JUDGMENT AGAINST YOU.
Date: __________________________________________
_____________________________________________________
Judge / Magistrate, Allen Superior Court
7/2015 Affidavit and Order for Final Judgment of Possession by Default