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 ______________________, _______. RICHARD M. WEISS, CLERK Circuit and County Courts By____________________________________ Deputy Clerk/County Judge American LegalNet, Inc. www.FormsWorkFlow.com