Request For Entry Of Default Judgment Without A Hearing Form - Gila Justice Courts, Arizona

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PLAINTIFF(S) ATTORNEY INFORMATION:
_______________________________
_______________________________
_______________________________
_______________________________
Name/Address/Phone
GILA JUSTICE COURTS, STATE OF ARIZONA
CHOOSE COURT LOCATION
___________________________
___________________________
___________________________
CASE NUMBER____________________
REQUEST FOR ENTRY OF DEFAULT
___________________________
JUDGMENT WITHOUT A HEARING
CIVIL
Plaintiff(s) Name/Address/Phone
V.
_______________________________
_______________________________
_______________________________
_______________________________
Defendant(s) Name/Address/Phone
Plaintiff requests judgment against the defendant(s) named: ________________________________________________
_________________________________________________________________________________________________
because the named defendant (s) failed to plead or otherwise defend in this action within the time allowed by law.
An affidavit is a made part of this request.
1. I am the plaintiff in this action.
2.
Defendant(s) named herein is engaged in active military service.
Supporting facts are: _____________________________________________________________________
Defendant(s) named herein is not in the armed forces of the United States
Supporting facts are: ______________________________________________________________________
I am unable to determine whether the defendant(s) is in the military.
3. The following amount is due and owing on plaintiff’s claim as of this date.
Principal
$ _______________
Accrued Interest
$ _______________
Attorney Fees
$ _______________
Court Costs
$ _______________
TOTAL
$ _______________
4.
The claim is for a specific amount or an amount that can be determined by a mathematical calculation.
5.
I am attaching a supporting affidavit concerning the claimed amount, along with attachments that prove the
amount of the claim.
6. There are no exhibits.
7. I state under penalty of perjury that the foregoing is true and correct.
Date: _____________
______________________________________
Signature
STATEMENT OF SERVICE
I certify that I will mail a copy of the REQUEST FOR ENTRY OF DEFAULT JUDGMENT WITHOUT A HEARING to the
opposing party(ies) at the address(es) listed.
Date:________________
_______________________________________
Signature

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