Request For Default Judgment
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Request For Default Judgment Form. This is a Massachusetts form and can be use in State District Court Statewide.
Tags: Request For Default Judgment, Massachusetts Statewide, State District Court
REQUEST FOR
DEFAULT JUDGMENT
DOCKET NO.
Trial Court of Masschussetts
District Court Department
DIVISION
DEFENDANT'S NAME, ADDRESS, ZIP CODE AND PHONE
PLAINTIFF'S NAME, ADDRESS, ZIP CODE AND PHONE
________________________________________________
________________________________________________
________________________________________________
________________________________________________
________________________________________________
________________________________________________
REQUEST FOR DEFAULT JUDGMENT
(Mass R. Civ P. 55(b)(3))
I, ________________________________________________________________, the undersigned, request that default
judgment be entered against the defendant(s) ____________________________________ in the amount of $_______________
together with interest in the sum of $_________________ with costs and affirm that:
1. The total amount due the plaintiff(s), exclusive of costs in his claim against the defendant, is $__________________.
2.
The defendant is not an infant or incompetent person.
3. The defendant is not in the military service of the United States or its Allies, as defined in the Servicemembers Civil
Relief Act as evidenced by the following facts:
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
DATE: ___________________________
Signature: ___________________________________________
Name: ______________________________________________
Attorney for: __________________________________________
Address: _____________________________________________
Execution Requested
Telephone: ___________________________________________
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