Free Application and Affidavit of Default and Entry of Default - Arizona

Your Name: Your Mailing Address: Your City, State, ZIP: Your Telephone No: Attorney's Bar No:
Representing Self (Without Attorney) OR Attorney for Petitioner Respondent

SUPERIOR COURT OF ARIZONA PINAL COUNTY
Case No. (Name of Petitioner)

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APPLICATION AND AFFIDAVIT FOR DEFAULT AND ENTRY OF DEFAULT
(Name of Respondent) Judge: DIV:

NOTICE: THIS IS AN IMPORTANT COURT DOCUMENT. When this document is properly completed and filed, Default has been applied for and entered. The Default will be effective ten (10) days after the filing of this completed document, unless the Defendant/Respondent files an Answer/Response or otherwise defends before the ten day period expires.

STATE OF ARIZONA COUNTY OF PINAL 1.

) ) ss.

I am the Plaintiff/Petitioner in this court case. I understand and make the following statements under oath. I give notice that I am requesting entry of default against the other party, the Defendant/Respondent because the Defendant/Respondent has not filed an Answer/Response. Service of the court papers on Defendant/Respondent has been accomplished as follows: (check ONLY one box) The Defendant/Respondent has signed an "Acceptance of Service" and has accepted service of the "Summons," Complaint or Petition and other papers. The Defendant/Respondent has not filed an "Answer/Response", or otherwise appeared or defended in this court case. Default may be entered. OR I have served the Defendant/Respondent according to law with the "Summons," Complaint or Petition and other papers. Defendant/Respondent has not appeared, answered, responded or otherwise defended in the time required by law.

2.

3.

The Defendant/Respondent is either not in the active military service of the United States or has otherwise waived his/her rights under the Soldier's and Sailor's Civil Relief Act.

©Superior Court of Arizona in Pinal County February 15, 2007 ALL RIGHTS RESERVED

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4.

By completing the Certificate of Mailing or Delivery at the bottom of this form, I certify that I am mailing or delivering a copy of this Application and Affidavit to the Defendant/Respondent as notice that I have applied for default and default has been entered in this court case. Note: If the Defendant/Respondent fails to file a responsive pleading or otherwise defend in this action within 10 days of the filing of this Application, a default judgment will be entered. The Plaintiff or Petitioner must still attend the default hearing at the court.

SIGNED: Petitioner's Signature

SUBSCRIBED AND SWORN TO before me this

day of

, 20

,

By My Commission Expires: Deputy Clerk/Notary Public

©Superior Court of Arizona in Pinal County February 15, 2007 ALL RIGHTS RESERVED

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ENTRY OF DEFAULT
It appearing to the Clerk of this Court from the "Application of Default and Entry of Default" that the respondent in this action, having been regularly served with process (or waived the same) has failed to plead or otherwise defend as to the Petition for Dissolution, Annulment, Legal Separation, Custody or Visitation on file in this action, and the time allowed having expired, the default of the respondent is hereby entered. This default shall not be effective if respondent pleads or otherwise defends prior to the expiration of ten (10) days from the date hereof.

GIVEN UNDER MY HAND AND THE SEAL OF THE COURT this

day of

, 20

KRISTI YOUTSEY RUIZ, Clerk of the Superior Court By: Deputy Clerk

CERTIFICATE OF MAILING OR DELIVERY
On (date) mailed postage pre-paid, OR delivered by Defendant/Respondent at the following: Address: (name of person who did the delivery) to the a copy of this document was (check ONLY one box):

Signed:

©Superior Court of Arizona in Pinal County February 15, 2007 ALL RIGHTS RESERVED

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