PIMA COUNTY CONSOLIDATED JUSTICE COURT 115 NORTH CHURCH AVENUE, TUCSON, AZ 85701-1130 (520)740-3171/TTY#(520)740-3019 PLAINTIFF DEFENDANT CASE NO. ____________________________ APPLICATION FOR ENTRY OF DEFAULT (Name/Address/Phone): (Name/Address/Phone): NOTICE IS HEREBY GIVEN TO: Defendant(s): ____________________________________________________ □ Whereabouts unknown Defendant(s): ____________________________________________________ □ Whereabouts unknown At the last known address indicated herein. If you do not answer or file a responsive pleading with this court within ten (10) days of the filing of this application, default will be effective and a Default Judgment will be entered against you for the amount claimed in plaintiff’s complaint. 1. 2. 3. The above named defendant(s) has failed to plead or otherwise defend in this action within the time allowed by law. No defendant(s) named herein is engaged in active military service. This application is made for the purpose of entering default against the defendant(s). Date: __________________________ _____________________________________________________ Plaintiff’s Signature MOTION and AFFIDAVIT FOR JUDGMENT BY DEFAULT Plaintiff hereby moves for judgment against the defendant(s) named above, because the named defendant(s) has failed to plead or otherwise defend in this action within the time allowed by law. I incorporate the application for entry of default made herein. An affidavit is made a part of this motion. 1. 2. 3. I am the plaintiff in this action. No defendant(s) named herein is engaged in active military service. The following amount due and owing on plaintiff’s claim as of this date: Principle Court Costs $ __________________ Other 6. $ __________________ Accrued Interest 5. $ __________________ Attorney Fees 4. $ __________________ $ __________________ TOTAL $ _________________ □ The claim is for a sum certain (an amount that can be substantiated by clear computation). □ I am attaching documentation evidencing that the defendant owes what is claimed. □ There are no exhibits. I state under penalty of perjury that the foregoing is true and correct. Date: _______________________ ______________________________________________________ Plaintiff Signature CERTIFICATE OF SERVICE I CERTIFY that I mailed a copy of this APPLICATION FOR ENTRY OF DEFAULT and MOTION FOR JUDGMENT BY DEFAULT to: □ Plaintiff at the above address or □ Defendant at the above address or □ Defendant’s attorney Date: _____________________ By: ________________________________________________________ Defendant JP49/ Created 1-17-06/Updated 06-01-09/ec/mt/an/mm Original-Court Canary-Plaintiff Pink-Defendant American LegalNet, Inc. www.FormsWorkFlow.com