In The State Court of Chatham County, Georgia 133 MONTGOMERY STREET, SUITE 308, www.statecourt.org · Ph (912) 652-7224 · SAVANNAH, GEORGIA 31401 FAX (912) 652-7229 · clerk@statecourt.org __________________________________________________ ___________________________________________________________ ___________________________________________________________ Plaintiff Versus _________________________ Case Number ___________________________________________________________ ___________________________________________________________ ___________________________________________________________ Defendant DEFAULT JUDGMENT - LIQUIDATED DAMAGES This action having become in default by the failure of the defendant to file his answer or other defensive pleadings, and fifteen (15) days having elapsed from the date of default and the default not having been opened as a matter of right or by order of this Court, $0.00 IT IS SO ORDERED AND ADJUDGED, that the above plaintiff recover of the above defendant the sum of:__________________ ___________________________________________________________________, $_______________, Principal , ___________________________________________________________________, $_______________, Attorney Fees, and ___________________________________________________________________, $_______________, Pre-Judgment interest together with post-judgment interest and costs of this action, This ______ day of _______________ 200___. ___________________________________ Judge, State Court of Chatham County, Georgia Prepared by: Attorney's Signature:_____________________________________ Printed Name:_____________________________________ Address:_____________________________________ City, State, Zip Code:_____________________________________ Telephone ________________________ Georgia Bar License #:________________________ CLEAR FORM 8. Default judgment - liquidated damages 09-05 American LegalNet, Inc. www.FormsWorkflow.com