Superior Court of Washington County of In re: No. Petitioner, and Respondent. Order on Motion for Default (ORDFL) [ ] granted (ORDFL) [ ] denied (ORDYMT) I. Basis A motion for default has been presented by (name of requesting party) ___________________________. II. Findings The court finds: 2.1 Proper Jurisdiction and Venue The court has proper jurisdiction and venue. 2.2 Service on Nonrequesting Party (Name of nonrequesting party being defaulted) _____________________________________ was served with ______________________________________________________________ ___________________________ on (date) ____________________________________. 2.3 Time Elapsed Since Service [] The nonrequesting party was served within the state of Washington and more than 20 days have elapsed since the date of service. Ord of Default (ORDFL) - Page 1 of 3 WPF DRPSCU 03.0200 Mandatory (6/2008) - CR 55(a); RCW 26.09.020 American LegalNet, Inc. www.FormsWorkFlow.com [] [] [] 2.4 Appearance [] [] 2.5 The nonrequesting party was served outside the state of Washington and more than 60 days have elapsed since the date of service. The nonrequesting party was served by mail and more than 90 days have elapsed since the date of mailing. The nonrequesting party was served by publication and more than 60 days have passed since the date of first publication. The nonrequesting party has failed to appear. The nonrequesting party has appeared but has failed to respond. Servicemembers Civil Relief Act Statement 2.5.1 Service member status --- It appears the nonrequesting party: [ ] is not a service member; [ ] is on active duty in the U.S. armed forces (excluding National Guard and reserves); [ ] is on active duty and is a National Guard member or a Reservist residing in Washington; [ ] is not on active duty in the U.S. armed forces (excluding National Guard and reserves); [ ] is not on active duty and is a National Guard member or a Reservist residing in Washington. 2.5.2 Dependent of a service member status --- It appears the nonrequesting party: [ ] is not a dependent of a resident of Washington who is on active duty and is a National Guard member or a Reservist; [ ] is a dependent of a resident of Washington who is on active duty and is a National Guard member or a Reservist; [ ] is presumed not a dependent of a resident of Washington who is on active duty and is a National Guard member or a Reservist. 2.6 Other III. Order It is Ordered: [ ] The motion is denied. [ ] The nonrequesting party is in default. Dated: Judge/Commissioner Presented by: Ord of Default (ORDFL) - Page 2 of 3 WPF DRPSCU 03.0200 Mandatory (6/2008) - CR 55(a); RCW 26.09.020 American LegalNet, Inc. www.FormsWorkFlow.com Signature of Requesting Party or Lawyer/WSBA No. Print Name Date Ord of Default (ORDFL) - Page 3 of 3 WPF DRPSCU 03.0200 Mandatory (6/2008) - CR 55(a); RCW 26.09.020 American LegalNet, Inc. www.FormsWorkFlow.com