JUSTICE COURT, LAS VEGAS TOWNSHIP Clark County, Nevada Name of Plaintiff(s) Case No. Department No. VERSUS Name of Defendant(s) DEFAULT It appearing from the files and records in the above entitled action that ________________________________ Defendant(s) herein, being duly served with a copy of the Summons and Complaint on the ________________________________ That more than 20 days, exclusive of the day of service, having expired since service upon the Defendant(s): that no Answer or other appearance having been filed and no further time having been granted, the default of the above named Defendant(s) for failing to answer or otherwise plead to the Plaintiff's Complaint is hereby entered. BY: _________________________________ DEPUTY CLERK Date: *********************** The undersigned hereby requests and directs the Entry of Default: (Signature) ________________________________________________________________________________________________ (Dated): ____________________________________ Print Name: _________________________________________________________________________________ Attorney for: _______________________________________________ Original-File LVJCVL Form-6 Revised 4/12 Copy-Plaintiff Copy-Defendant American LegalNet, Inc. www.FormsWorkFlow.com