Motion to Enter Default Judgment Small Claims Case Approved Board of District Court Judges April 17, 2009 Revised May 1, 2019 Page 1 of 3 Name Address City, State, Zip Phone Check your email. You will receive information and documents at this email address . Email I am [ ] Plaintiff [ ] Defendant [ ] Plaintif f [ ] Defendant (Utah Bar #: ) In the [ ] District [ ] Justice Court of Utah Judicial District County C ourt Address Plaintiff v. Defendant And Defendant Motion to Enter Default Judgment S mall Claims Case Case Number Judge Instructions: Attach the following: Proof of Service (showing that the other party was served with the Affidavit and Summons or Counter Affidavit and Summons) Military Service Declaration Proposed Military Service Order Proposed Judgment 1. I move for entry of a default judgment against [ ] Plaintiff [ ] Defendant, who: (A) [ ] Has failed to appear for trial; (B) [ ] Is not a minor or an incapacitated person; and (C) [ ] Was served with the: American LegalNet, Inc. www.FormsWorkFlow.com Motion to Enter Default Judgment Small Claims Case Approved Board of District Court Judges April 17, 2009 Revised May 1, 2019 Page 2 of 3 [ ] Affidavit and Summons OR [ ] Counter Affidavit and Summons in accordance with the Rules of Small Claims Procedure and the Proof of Service is attached. 2. I claim the following: Damages $ Costs (Describe) $ $ $ $ Pre - judgment Interest $ Payments - $ Total $ I declare under criminal penalty under the law of Utah that everything stated in this document is true . Signed at (city, and state or c ountry). Sign atu Date Printed Name American LegalNet, Inc. www.FormsWorkFlow.com Motion to Enter Default Judgment Small Claims Case Approved Board of District Court Judges April 17, 2009 Revised May 1, 2019 Page 3 of 3 Certificate of Service I certify that I filed with the court and am serving a copy of this M otion to Enter Default Judgment Small Claims Case on the following people. Ser vice Method Service Address Service Date [ ] Mail [ ] Hand Delivery [ ] E - filed [ ] Email [ ] Left at business (With person in charge or in receptacle for deliveries.) [ ] Left at home (With person of suitable age and discretion residing ther e.) [ ] Mail [ ] Hand Delivery [ ] E - filed [ ] Email [ ] Left at business (With person in charge or in receptacle for deliveries.) [ ] Left at home (With person of suitable age and discretion residing there.) [ ] Mail [ ] Hand Delivery [ ] E - filed [ ] Email [ ] Left at business (With person in charge or in receptacle for deliveries.) [ ] Left at home (With person of suitable age and discretion residing there.) Sign atu Date Printed Name American LegalNet, Inc. www.FormsWorkFlow.com