IN THE MAGISTRATE COURT OF CLAYTON COUNTY STATE OF GEORGIA Plaintiff VS. Civil Action File Defendant No. AFFIDAVIT FOR JUDGMENT ON CONSENT ORDER Personally appeared, , who, being duly sworn, state that he/sheis the (Plaintiff), (Attorney for Plaintiff), (Agent for Plaintiff) in the above-styled action and that a Consent Order was entered in this case on the da y of , 20 , requiring the Defendant to pay thePlaintiff the sum(s) of $ principal, $ interest, $ attorney fees and $ courtcosts. The Defendant has defaulted in making these paym and is now $ ents principal, $ interest,$ attorney fees and $ court costs in arrears. Wherefore the affiant requests that judgment be entered favor of the Plaintiff against the Defendant for in the sumsof arrearage hereinabove set forth. Plaintiff Address ( ) Area Code Phone Number Sworn to and subscribed before me this day of , 20 . (Deputy Clerk) (Notary Public) DEFAULT JUDGMENT ON CONSENT ORDER It appearing to the Court that a consent order was filed in this court between the Plaintiff(s) and the Defendant(s). It further appearing the Defendant(s) in the within case having defaulted on said consent order, judgment is entered in favor of the Plaintiff as follows; It is hereby ORDERED AND ADJUDGED that the Plaintiff have and recover of the Defendant(s) the sum of $ dollars principal $ interest to date, $ attorneyfees and $ court costs. SO ORDERED, this day of , 20 . Judge, Magistrate Court Clayton County D:\)17.4(Afdt for Jment on Consent Order 04/18/03