KITSAP COUNTY DISTRICT COURT, STATE OF WASHINGTON __________________________________________, Plaintiff, vs. NO. ORDER OF DEFAULT AND DEFAULT JUDGMENT __________________________________________, Defendant. (EXAMPLE) JUDGMENT SUMMARY JUDGMENT CREDITOR : ATTORNEY FOR JUDGMENT CREDITOR : JUDGMENT DEBTOR : ATTORNEY FOR JUDGMENT DEBTOR : PRINCIPAL JUDGMENT AMOUNT : INTEREST TO DATE OF JUDGMENT : TOTAL OF TAXABLE COSTS AND ATTORNEYS’ FEES : ATTORNEYS’ FEES : FILING FEE : SERVICE OF PROCESS : TOTAL : TOTAL JUDGMENT : INTEREST RATE ON JUDGMENT : THIS MATTER having come on before the undersigned Judge of the above-entitled court for the entry of an Order of Default and Default Judgment against _____________________________________________, and the court having reviewed the records and the files herein, including the Affidavit of _________________, and otherwise being fully advised in the premises, it is now, therefore, ORDERED, ADJUDGED AND DECREED that defendants _________________________________ are hereby ordered and adjudged to be in default in this action for want of a pleading herein; and it is further ORDERED, ADJUDGED AND DECREED that plaintiff ___________________________________ shall have judgment against defendant ________________________________________________________. Monies due and owing: Filing Fee: Service of Process: Attorneys’ Fee: $ $ $ $ TOTAL JUDGMENT $ This sum shall bear interest at the rate of __________% per annum from _______________________, until paid in full. (*Insert the following information if the judgment pertains to RCW 46.29.270:) American LegalNet, Inc. www.FormsWorkFlow.com This judgment provides for damages arising from the ownership, maintenance or use of a motor vehicle and this judgment is awarded pursuant to RCW 46.29.270. DATED __________________________________________ JUDGE Presented by: ___________________________________ , WSBA# Attorney for Plaintiff ORDER OF DEFAULT AND DEFAULT JUDGMENT - 2 Revised 9/03/10 American LegalNet, Inc. www.FormsWorkFlow.com