Attorney or Party Name, Address, Telephone & FAX Nos., State Bar No. & Email Address FOR COURT USE ONLY Plaintiff(s) appearing without attorney Attorney for Plaintiff(s) UNITED STATES BANKRUPTCY COURT CENTRAL DISTRICT OF CALIFORNIA - **SELECT DIVISION** In re: CASE NO.: CHAPTER 13 Debtor(s). ADVERSARY NO.: DIVISION Plaintiff(s), vs. REQUEST FOR CLERK TO ENTER DEFAULT UNDER LBR 7055-1(a) [No Hearing Required] Defendant(s). TO THE DEFENDANT, DEFENDANT'S ATTORNEY AND OTHER INTERESTED PARTIES: 1. Name of Defendant against whom default is sought (specify name): 2. Plaintiff filed the complaint in this adversary proceeding on (specify date): 3. The summons and complaint were served on Defendant by on the following date (specify date): Personal Service Mail Service 4. A conformed copy of the executed service of summons form is attached hereto. 5. The time for filing an answer or other responsive pleading expired on (specify date): 6. No answer or other responsive pleading has been filed or served by Defendant. WHEREFORE, Plaintiff requests that the clerk of the court enter a default against this Defendant. Date: Signature Printed name of Plaintiff or attorney for Plaintiff This form is mandatory. It has been approved for use in the United States Bankruptcy Court for the Central District of California. December 2012 Page 1 F 7055-1.1.REQ.ENTER.DEFAULT PROOF OF SERVICE OF DOCUMENT I am over the age of 18 and not a party to this bankruptcy case or adversary proceeding. My business address is: A true and correct copy of the foregoing document entitled: REQUEST FOR CLERK TO ENTER DEFAULT UNDER LBR 7055-1(a) will be served or was served (a) on the judge in chambers in the form and manner required by LBR 50052(d); and (b) in the manner stated below: 1. TO BE SERVED BY THE COURT VIA NOTICE OF ELECTRONIC FILING (NEF): Pursuant to controlling General Orders and LBR, the foregoing document will be served by the court via NEF and hyperlink to the document. On (date) , I checked the CM/ECF docket for this bankruptcy case or adversary proceeding and determined that the following persons are on the Electronic Mail Notice List to receive NEF transmission at the email addresses stated below: Service information continued on attached page 2. SERVED BY UNITED STATES MAIL: , I served the following persons and/or entities at the last known addresses in this bankruptcy On (date) case or adversary proceeding by placing a true and correct copy thereof in a sealed envelope in the United States mail, first class, postage prepaid, and addressed as follows. Listing the judge here constitutes a declaration that mailing to the judge will be completed no later than 24 hours after the document is filed. Service information continued on attached page 3. SERVED BY PERSONAL DELIVERY, OVERNIGHT MAIL, FACSIMILE TRANSMISSION OR EMAIL (state method for each person or entity served): Pursuant to F.R.Civ.P. 5 and/or controlling LBR, on (date) , I served the following persons and/or entities by personal delivery, overnight mail service, or (for those who consented in writing to such service method), by facsimile transmission and/or email as follows. Listing the judge here constitutes a declaration that personal delivery on, or overnight mail to, the judge will be completed no later than 24 hours after the document is filed. Service information continued on attached page I declare under penalty of perjury under the laws of the United States that the foregoing is true and correct. Date Printed Name Signature This form is mandatory. It has been approved for use in the United States Bankruptcy Court for the Central District of California. December 2012 Page 2 F 7055-1.1.REQ.ENTER.DEFAULT