For Official Use STATE OF WISCONSIN, CIRCUIT COURT, DANE COUNTY Plaintiff(s): ________________________________________ _________________________________________________ Affidavit of Default (Eviction) Vs. Defendant(s): ______________________________________ _________________________________________________ Case No. UNDER OATH, I STATE: 1. The plaintiff(s) and the defendant(s) entered into a stipulation (Agreement) on (Date): It was agreed that (Briefly state or attach copy of stipulation): . 2. The stipulation stated that if the defendant(s) did not comply with the terms of the agreement, the plaintiff(s) could file an Affidavit of Default within 30 days of the default without notifying the defendant(s), ask the court to vacate the dismissal, enter judgment of eviction against the defendant(s), and issue a writ of restitution. 3. The defendant(s) did not comply with the following term(s) of the agreement: missed a scheduled payment, which was due on (Date) . failed to vacate the premises by (Date) . other: 4. I ask the court to vacate the dismissal and enter judgment for eviction against the defendant(s) and issue a writ of restitution directing the defendant(s) to immediately vacate the property. Subscribed and sworn to before me on Signature of Owner/Attorney Name Printed or Typed Notary Public/Court Official/State of Wisconsin My commission expires: Date 5/10 5/10 American LegalNet, Inc. www.FormsWorkFlow.com