IN THE MAGISTRATE COURT OF CLAYTON COUNTY STATE OF GEORGIA Plaintiff VS. Civil Action File No. Defendant REQUEST FOR DEFAULT JUDGMENT The above-styled action was properly served upon the Defendant(s) and no defensive pleadings have been filed. The Plaintiff(s) request a judgment by default. Affiant Sworn to and subscribed before me this day of , 20 . Notary Public/Clerk/Deputy Clerk DEFAULT JUDGMENT It appearing to the Court that a claim was filed by the Plaintiff against the Defendant(s). It further appearing the Defendant(s) in the within case being in default, 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, $ dollars interest to date, together with future interest as allowed by law and all court costs to be taxed by the Clerk. SO ORDERED, this day of , 20 . Judge, Magistrate Court Clayton County \magistra\default.jud 10/23/97 American LegalNet, Inc. www.FormsWorkFlow.com