Motion To Enter Default Judgment Form Page 2

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(1)
I move for entry of a default judgment against [ ] Plaintiff [ ] Defendant, who:
(A)
[ ] Has failed to appear for trial;
(B)
[ ] Is not a minor or an incapacitated person; and
(C)
[ ] Was served with the:
[ ] Affidavit and Summons
OR
[ ] Counter Affidavit and Summons
in accordance with the Rules of Small Claims Procedure and the
Proof of Service is attached.
(2)
I claim the following:
Damages
$
Costs
$
(Describe)
$
$
$
Pre-judgment Interest
$
Payments
- $
Total
$
I have not included any non-public information in this document.
I declare under penalty of Utah Code Section 78B-5-705 that everything stated in this document is true
and correct.
Date
Sign here ►
Typed or printed name
Motion to Enter Default Judgment
Approved Board of District Court Judges April 17, 2009
Page 2 of 2
Revised April 27, 2015

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