SALT LAKE CITY JUSTICE COURT
333 SOUTH 200 EAST, SALT LAKE CITY, UT 84111
Phone: 801-535-6301 / Fax: 801-535-6302 /
Name__________________________________________,Plaintiff )
Street Address__________________________________________ )
City, State, ZIP_________________________________________ )
SMALL CLAIMS NOTICE OF
vs.
)
DEFAULT JUDGMENT
Name________________________________________,Defendant )
Case No.____________________
Street Address__________________________________________ )
City, State, ZIP_________________________________________ )
PLEASE TAKE NOTICE: A default judgment has been entered against the
Plaintiff
Defendant in this
case because of failure to appear at the trial. A copy of the judgment is enclosed. You may ask to set aside this
judgment by filing a Motion to Set Aside within 15 days after the date the judgment was entered. You may
appeal this judgment by filing a Notice of Appeal with this court within 30 days after the date the judgment was
entered.
I declare under penalty of Utah Code Section 78B-5-705 that everything stated in this document is true and correct.
Sign here ►
Date
Typed or printed name
Certificate of Service
I certify that I served a copy of this Notice of Default Judgment and a copy of the Small Claims Judgment on the following people.
Served on this
Person’s Name
Method of Service
Served at this Address
Date
Mail
Hand Delivery
Left at business
(With person in charge)
Fax
(Person agreed to service by fax.)
Email
(Person agreed to service by email.)
Left at business
(With person in charge
or in receptacle for deliveries.)
Left at home
(With person of suitable age
(Other Party or Attorney)
and discretion residing there.)
Mail
Hand Delivery
Left at business
(With person in charge)
Mail
Hand Delivery
Left at business
(With person in charge)
Mail
333 S 200 E
Salt Lake City Justice Court
Hand Delivery
SLC UT 84111
(Clerk of Court)
Sign here ►
Date
Typed or printed name