Person Filing: Mailing Address: City, State, Zip: Phone Number: Representing Self SUPERIOR COURT OF ARIZONA, COUNTY OF COCONINO Petitioner: Respondent: Case Number: DO REQUEST FOR A DEFAULT HEARING I, Petitioner, ask the court to set a default hearing in this case. Respondent has defaulted, and all applicable time periods have passed. Date: Revised September 2008 Petitioner’s Signature: Coconino County Law Library and Self-Help Center Forms American LegalNet, Inc. www.FormsWorkflow.com