State of Alabama Unified Judicial System APPLICATION, AFFIDAVIT, AND ENTRY Case Number OF DEFAULT AND DEFAULT JUDGMENT Form CS-17 Rev. 1/86 (PATERNITY) IN THE _________________________________ COURT OF ______________________________ COUNTY, ALABAMA ___________________________________________________ v. ________________________________________________________ _____ An entry of default against the defendant ___________________________________ in the above case is requested for his failure to plead, answer, or otherwise defend. Signed ______________________________________________________ A default judgment against the defendant ___________________________________ in the above case is requested for his failure to plead, answer, or otherwise defend. Signed _________________________________________________STATE OF ALABAMA _______________________________________________________ COUNTY The Affiant ____________________________ being duly sworn, says: 1. That he has personal knowledge of the facts set forth in this affidavit. 2. That the defendant was served a copy of the Complaint for Paternity and Child Support on (date) _____________________________.3. That more than ___________ days have elapsed since the defendant was served with a copy of the Complaint for Paternity and Child Support. 4. That the defendant has failed to answer or otherwise defend himself against the plaintiffs claim. 5. That this affidavit is executed by the affiant in accordance with Rule 55(a) of the Alabama Rules of Civil Procedure, for the purpose of enabling the plaintiff to obtain an entry of default against the defendant, for his failure to answer, or otherwise defend himself against the plaintiffs claim. 6. That the defendant is not an infant or an incompetent person or a member of the Armed Services of the United States.7. That the defendant should be adjudged the father of said minor child(ren): ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ and required to pay a reasonable sum toward the support and maintenance of said child(ren) to be determined by the Court.Sworn to and Subscribed before me __________________________________________________this (date) ____________________________________ AFFIANT ____________________________________________ Notary Public Entry of default entered against defendant _________________________________________________________________________ this (date) _____________________ ______________________________________________________________BY: Clerk