IN THE COUNTY COURT OF POLK COUNTY, FLORIDA CIVIL DIVISION CASE NO. Name Address City, State, Zip Code Phone Number Plaintiff, vs. Name Address City, State, Zip Code Phone Number Defendant. MOTION FOR DEFAULT PLAINTIFF moves for entry of a default by the Clerk or by the Court against the defendant(s) , for failure to: check appropriate response(s) A. file any paper as required by law and serve copy on the plaintiff B. pay all rent due into the registry of the court DATED this day of , . Plaintiff/Property Manager for Plaintiff DEFAULT A default is entered in this action against the defendant named in the foregoing Motion for failure to: A. file any paper as required by law and serve copy on the plaintiff B. pay all rent due into the registry of the court DATED this day of , . STACY M. BUTTERFIELD Clerk of the Circuit Court By Deputy Clerk/County Judge American LegalNet, Inc. www.FormsWorkFlow.com