SUPERIOR COURT OF CALIFORNIA, COUNTY OF RIVERSIDE BANNING 311 E. Ramsey St., Banning, CA 92220 MORENO VALLEY 13800 Heacock St., Ste. D201, Moreno Valley, CA 92553 BLYTHE 265 N. Broadway, Blythe, C A 92225 MURRIETA 30755 - D Auld Rd., Ste. 1226, Murrieta, CA 92563 CORONA 505 S. Buena Vista, Rm. 201, Corona, CA 92882 PALM SPRINGS 3255 E. Tahquitz Canyon Way, Palm Springs, CA 92262 HEMET 880 N. State St., Hemet, CA 92543 RI - CI03 1 ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar Number and Address) FOR COURT USE ONLY TELEPHONE NO.: FAX NO. ( Optional ): E - MAIL ADDRESS (Optional) : ATTORNEY FOR ( Name ): PLAINTIFF/PETITIONER: DEFENDANT/RESPONDENT: CASE NUMBER : APPLICATION FOR JUDGMENT BY DEFAULT BY CLERK FOR RESTITUTION OF PREMISES O NLY (PURSUANT TO C.C.P. 1169) I am the Plaintiff/Attorney in the above - entitled action. The defendant(s) listed below, named in the complaint as tenants, subtenants, or occupants, were served with the summons and complaint and have failed to answ er or otherwise defend within the time allowed by law. Proofs of service of the summons and complaint have been filed with the clerk: Tenants: Subtenants: Occupants: Prejudgment claims of right to possession were served purs uant to CCP 247415.46. Proofs of service in accordance w ith section 415.46 have been filed with the clerk. No unnamed occupants have filed a claim described in CCP 247247 415.46, 1174.25 within the time allowed by law. Prejudgment cla im of right to possession were served pursuant to CCP 247415.46. The claimants listed below filed claims of right to possession, but have failed to answer or otherwise defend within the time allowed by law: Claimants: Defendants, claimants or occup ants are still in possession of the premises. Pursuant to CCP 247 1169, I the undersigned request that the defaults of the above - described tenants, subtenants, claimants and other occupants be entered (unless previously entered) and that judgment be en tered for restitution of the premises located at: , California, and that a writ of possession be issued for the premises. I declare under penalty of perjury under the laws of the State of California that the information above is true and correct. Date: (TYPE OR PRINT NAME OF ATTORNEY PARTY MAKING DECLARATION) (SIGNATURE) Page 1 of 1 Approved for Mandatory Use Riverside Superior Court RI - CI031 [Rev.01/10 /1 3 ] (Reformatted 01/07/19) APPLICATION FO R JUDGMENT BY DEFAULT BY CLERK FOR RESTITUTION OF PREMISES ONLY (PURSUANT TO CCP 1169) Code of Civil Procedure 247 1169 riverside.courts.ca.gov/localfrms/localfrms.shtml American LegalNet, Inc. www.FormsWorkFlow.com