Rev ised March 2019 251 201 9 Coconino County Law Library This form asks the judge to finish your case without a hearing. The judge will decide whether a hearing is needed in your case. Person Filing : Mailing Address: City, State, Zip: Phone Number: Representing Self COCONINO COU NTY SUPERIOR COURT Petitioner: Respondent: Case Number: DO MOTION AND AFFIDAVIT FOR JUDGMENT BY DEFAULT WITHOUT A HEARING I, Pet itioner, ask the co urt to sign my proposed Decree without a hearing. I DID NOT USE THE NEWS PAPER TO SERVE THE OTHER PARTY. Respondent has defaulted. Respondent is not a minor or incompetent person. The court has juri sdiction over the parties under the law. The conciliation provisions ha ve been met or do no app ly. The amo unt due and factual statements supporting that amount are listed in my Petition and pr oposed Decree. Sign in front of a notary. Notaries are at the Self - Help Center in the Courthouse and at most banks or listed in the Yellow Pages. The person signing must bring photo ID. Notaries usually charge a fee. State of Arizona County of ) ) ) Subscribed and sworn before me this date : by: Seal: Notary Public: Notary Expiration Date: Date: Clerk of Superior Court by Deputy Cler k American LegalNet, Inc. www.FormsWorkFlow.com