Court Request For
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1
2CIV-100
ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address):
FOR COURT USE ONLY
To keep other people from
seeing what you entered on
your form, please press the
Clear This Form button at the
FAX NO. (Optional):
TELEPHONE NO.:
end of the form when finished.
E-MAIL ADDRESS (Optional):
ATTORNEY FOR (Name):
SUPERIOR COURT OF CALIFORNIA, COUNTY OF
STREET ADDRESS:
MAILING ADDRESS:
CITY AND ZIP CODE:
BRANCH NAME:
PLAINTIFF/PETITIONER:
DEFENDANT/RESPONDENT:
CASE NUMBER:
REQUEST FOR
Entry of Default
Clerk's Judgment
(Application)
Court Judgment
TO THE CLERK: On the complaint or cross-complaint filed
1.
a. on (date):
b. by (name):
c.
Enter default of defendant (names):
d.
I request a court judgment under Code of Civil Procedure sections 585(b), 585(c), 989, etc., against defendant (names):
(Testimony required. Apply to the clerk for a hearing date, unless the court will enter a judgment on an affidavit under Code
Civ. Proc., § 585(d).)
e.
Enter clerk’s judgment
(1)
for restitution of the premises only and issue a writ of execution on the judgment. Code of Civil Procedure section
1174(c) does not apply. (Code Civ. Proc., § 1169.)
Include in the judgment all tenants, subtenants, named claimants, and other occupants of the premises. The
Prejudgment Claim of Right to Possession was served in compliance with Code of Civil Procedure section
415.46.
(2)
under Code of Civil Procedure section 585(a). (Complete the declaration under Code Civ. Proc., § 585.5 on the
reverse (item 5).)
(3)
for default previously entered on (date):
Amount
Credits acknowledged
Balance
2.
Judgment to be entered.
a.
Demand of complaint . . . . . . . . . . . .
$
$
$
b.
Statement of damages *
$
$
(1) Special . . . . . . . . . . . . . . . . . . . .
$
$
$
(2) General . . . . . . . . . . . . . . . . . . . .
$
c.
$
$
Interest . . . . . . . . . . . . . . . . . . . . . . .
$
$
$
d.
Costs (see reverse) . . . . . . . . . . . . . .
$
$
$
e.
Attorney fees . . . . . . . . . . . . . . . . . . .
$
f .
TOTALS . . . . . . . . . . . . . . . . . . . . . .
$
$
$
g.
Daily damages were demanded in complaint at the rate of: $
per day beginning (date):
(* Personal injury or wrongful death actions; Code Civ. Proc., § 425.11.)
3.
(Check if filed in an unlawful detainer case) Legal document assistant or unlawful detainer assistant information is on
the reverse (complete item 4).
Date:
(TYPE OR PRINT NAME)
(SIGNATURE OF PLAINTIFF OR ATTORNEY FOR PLAINTIFF)
Default entered as requested on (date):
(1)
(2)
Default NOT entered as requested (state reason):
FOR COURT
, Deputy
USE ONLY
Clerk, by
Page 1 of 2
Form Adopted for Mandatory Use
REQUEST FOR ENTRY OF DEFAULT
Code of Civil Procedure,
Judicial Council of California
§§ 585–587, 1169
(Application to Enter Default)
CIV-100 [Rev. January 1, 2007]
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