Request to Enter Default Template
IN THE [NAME OF COURT] COURT OF [COUNTY], [STATE]
Case No.: __________________________
In the Matter of:
Petitioner: __________________________
Respondent: __________________________
1. Request to Enter Default
Petitioner respectfully requests that the Clerk of the Court enter the default of Respondent, [Respondent’s Name], in this action for [type of case, e.g., Dissolution of Marriage, Legal Separation, Custody].
Respondent was duly served with the Petition and Summons on [Date of Service] and has failed to file a response or make an appearance within the time prescribed by law.
Date Petition Filed: __________________________
Date Respondent Served: __________________________
Method of Service: ☐ Personal ☐ Substituted ☐ Mail ☐ Publication
Proof of Service Filed: ☐ Yes ☐ No
Date Proof of Service Filed: __________________________
3. Default Request Basis
☐ Default without agreement (no response filed and no appearance made)
☐ Default with written agreement attached (parties reached a stipulated judgment)
4. Relief Requested
Petitioner requests that the Court proceed with a default hearing or judgment granting the relief requested in the Petition, including:
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Dissolution of marriage or legal separation
-
Division of property and debts
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Custody and visitation orders
-
Child and spousal support orders
-
Any additional relief deemed appropriate by the Court
Dissolution of marriage or legal separation
Division of property and debts
Custody and visitation orders
Child and spousal support orders
Any additional relief deemed appropriate by the Court
5. Supporting Documentation
Attached hereto are the following documents in support of this request:
☐ Proof of Service of Summons and Petition
☐ Declaration of Petitioner
☐ Proposed Judgment or Decree
☐ Income and Expense Declaration (if applicable)
☐ Property Declarations or Financial Disclosure Forms
6. Declaration
I declare under penalty of perjury under the laws of the State of [State] that the foregoing is true and correct.
Executed on this _____ day of ____________, 20____, at [City], [State].
Signature: __________________________
Printed Name: __________________________
Petitioner
7. Clerk’s Entry of Default (For Court Use Only)
Default entered as requested on __________________________
Clerk’s Signature: __________________________
Deputy Clerk: __________________________