Legal Pleading Template: Default Request Affidavit Entry And Judgment
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1Names of attorney(s)
1
Firm's name and addresss
2
3
[Name of the Court]
4
)
Case No.: No. [case number]
5
Plaintiff name(s),
)
)
[Default Request, Affidavit, Entry and
6
Plaintiff,
)
Judgment (Sum Certain)]
)
7
vs.
)
Party in default:________________________
)
Defendant name(s),
8
)
)
9
Defendant
)
10
Request and Affidavit
1. In accordance with court rule, I request a default entry against the party
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mentioned above for failure to appear.
2. The claim against the defaulted party is for a sum certain or for a sum which
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by computation can be made certain, and the plaintiff requests judgment of the
following amount due from the defaulted party:
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Amount: [Amount]
•
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3. The defaulted party is not an infant or incompetent person.
4.
The defaulted party is not in the military.
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5.
The defaulted party is in the military, but received notice of the pending
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action and had suitable time to appear and defend.
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[Applicant/Attorney Signature]
[Bar No.]
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Subscribed and sworn before me on [Date], [County], [State].
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My commission expires [Date].
Signature: [Deputy Court Clerk]
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Default Judgment
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The judgment is granted. The total amount granted is [amount].
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Judgment already accrued is [amount] and will gain interest at a [percentage] rate for
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[length of time].
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Judgment has been entered and will be final unless within 21 days of default judgment
date a motion to set aside default is filed.
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Certificate of Mailing
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I certify that a copy of this judgment on this date was served on the party(ies) or
their attorneys at the mailing addresses listed above.
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Signature: [Signature]
Dated [date]
[Pleading title summary] - 1
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