Law 136 / Eff. 1 IN THE COUNTY COURT, EIGHTEENTH JUDICIAL CIRCUIT, BREVARD COUNTY, FLORIDA DIVISION: CIVIL CASE NUMBER: 05- - - -XXXX-XX PLAINTIFF(S) DEFENDANT(S) MOTION FOR DEFAULT I certify that a copy of this Motion for Default was emailed mailed hand-delivered to the person(s) listed below on the day of , 20. Defendant(s) or attorney(s) for Defendant(s): Name: Address(es): City, State, Zip: Email address: American LegalNet, Inc. www.FormsWorkFlow.com Law 136 / Eff. 2 MOTION FOR CASE NUMBER: 05- - - -XXXX-XX Date: Signature of Plaintiff(s) Printed name(s) Address, City, State, Zip Code Telephone Number(s) Email address American LegalNet, Inc. www.FormsWorkFlow.com