STATE OF NEW MEXICO COUNTY OF McKINLEY ELEVENTH JUDICIAL DISTRICT ____________________________________, Petitioner/Plaintiff, -vs____________________________________, No. D-1113-_____-__________________ Respondent/Defendant. ENTRY OF DEFAULT In accordance with S.C.R.A. 1-055 (a), the Clerk of the District Court of the Eleventh Judicial District in and for the County of McKinley has determined that a Complaint in the above-entitled matter was filed in my office by _____________________________, attorney of record on the ______ day of _________________, 20____. Further, it appears from the return made by _______________________________ that service was effectuated on the______ day of _________________________, 20 _____, by __________________________ (type of service). (If applicable) A copy of the Complaint and Summons were mailed to Respondent/Defendant on ______________________, 20 _____. And further, I certify that no pleadings, or other defense for said Defendant has been filed in my office of record. An entry of default is therefore appropriate, and is hereby entered. IN WITNESS WHEREOF, I have hereunto set my hand and seal of said Court this _____ day of ___________________________, 20 _____. FRANCISCA P. PALOCHAK Clerk of the District Court By __________________________________ Deputy 6/10 revision American LegalNet, Inc. www.FormsWorkFlow.com 6/10 revision American LegalNet, Inc. www.FormsWorkFlow.com