JDF 78 R 8 - 17 MOTION AND ORDER TO SET AS IDE DEFAULT JUDGMENT Page 1 of 2 County Court District Court County, Colorado Court Address: Plaintiff(s)/Petitioner(s) v. Defendant(s)/Respondent(s) COURT USE ONLY Attorney or Party Without Attorney (Name and Address) : Pho ne Number: E - mail: FAX Number: Atty. Reg. #: Case Number: Division Courtroom MOTION AND ORDER TO SET ASIDE DEFAULT JU DGMENT I , am th e Plaintiff/Petitioner Defendant/Respondent in above captioned case. The Judgment was entered against me on (date) . I did not file a written response OR appear in Court on the date of the trial or the date of the entry o f judgment because: I believe I can provide the following facts to prove my case or to establish my defense: By checking this box, I am acknowledging I am filling in the blanks and not changing anything else on the form. By checking this box, I am acknowledg ing that I have made a change to the original content of this form. VERIFICATION I declare under penalty of perjury under the law of Colorado that the for egoing is true and correct. Executed on the day of , , at (date) (month) (year) (city or other location, and state OR country ( Printed name of Plaintiff/Petitioner Defendant/Respondent Signature of Plaintiff/Petitioner Defendant/Respondent CERTIFICATE OF SERVICE I certify that on (date) a true and accurate copy of this MOTION AND ORDER TO SET ASIDE DEFAULT JUDGMENT was served on the other party by: Hand Delivery E - filed Faxed to this number or by placing it in the United States mail, postage pre - paid, and addressed to the following: Signature American LegalNet, Inc. www.FormsWorkFlow.com JDF 78 R 8 - 17 MOTION AND ORDER TO SET AS IDE DEFAULT JUDGMENT Page 2 of 2 FOR COURT USE ONLY BELOW THIS LINE: ORDER The Court upon review of the Motion to Set Aside Default Judgment, Orders the following: 1. Motion DENIED . 2. Motion GRANTED . 3. The Motion is to be s et for a h earing on (date) . Dated: Judge Magistrate CERTIFICATE OF SERVICE I certify that on (date), I delivered a copy of this Order to the following: Plaintiff (s)/Pe titioner(s) and/or Attorney : Hand - Delivered, E - filed, or Mailed to: Defendant (s)/Respondent(s) and/or Attorney : Hand - Delivered, E - filed, or Mailed to: Other : Hand - Delivered, E - filed, or Mailed to: Clerk Signature: American LegalNet, Inc. www.FormsWorkFlow.com