IN THE SUPERIOR COURT FOR THE STATE OF ALASKA AT ) ) ) ) ) ) ) ) ) ) ) vs. Plaintiff, Defendant. CASE NO. DEFAULT APPLICATION CHILD CUSTODY APPLICATION Pursuant to Civil Rule 55, plaintiff requests that the clerk of court enter the default of defendant for failure to appear and answer or otherwise defend or respond to this action. I further request that the court enter default judgment in my favor on the requests made in my complaint. AFFIDAVIT I do solemnly swear (or affirm) that the facts set out below are true to the best of my personal knowledge: 1. The defendant named above was served with the summons and complaint more than 20 days ago. I have attached the following proof of service: A Return of Service from the process server The green certified mail card An Affidavit of Publication 2. Is the defendant under age 18? Yes No If under 18, has the defendant been married or otherwise legally emancipated? Yes No If the defendant is under 18 and not married or otherwise emancipated, was defendant's legal guardian or attorney also served with the summons and complaint? Yes. Proof of service on defendant's legal guardian or attorney is attached. No Is the defendant an incompetent person (that is, does defendant lack the mental ability to manage his/her own business and legal affairs)? Yes No If yes, was the defendant's legal guardian, conservator, attorney or other representative served with the summons and complaint? Yes. Proof of service on defendant's representative is attached. No. Explain why not: Civil Rule 55 American LegalNet, Inc. www.FormsWorkFlow.com 3. Page 1 of 2 DR-425 (4/12)(cs) DEFAULT APPLICATION ­ CHILD CUSTODY 4. Is the defendant in the active military service of the United States? This knowledge and belief is based on the following facts: Yes No 5. I am unable to determine whether or not the defendant is in the military service. Date Signature of Plaintiff Print Name Mailing Address City State , 20 , in ZIP , Subscribed and sworn to or affirmed before me on Alaska. CERTIFICATE OF SERVICE I certify that on this default application was sent by , a copy of to: Court Clerk/Notary Public in and for Alaska My Commission Expires: Signature (SEAL) ENTRY OF DEFAULT Default is hereby entered against defendant. Date Signature of Clerk of Court/Deputy Clerk NOTICE OF HEARING ON DEFAULT JUDGMENT Default hearing on the complaint is scheduled for: Date: Courtroom: Court Location: I certify that on Clerk/Secretary: Time: Judge/Master: a copy of this document was mailed to the plaintiff. Page 2 of 2 DR-425 (4/12)(cs) DEFAULT APPLICATION ­ CHILD CUSTODY Civil Rule 55 American LegalNet, Inc. www.FormsWorkFlow.com