My Name Address Phone Email I am the Plaintiff/Petitioner Attorney for the Plaintiff/Petitioner and my Utah Bar number is _________ In the District Justice Court of Utah
__________ Judicial District ________________ County Court Address ______________________________________________________ _____________________________________ Military Service Declaration Plaintiff/Petitioner Case Number ___________________ v. Judge _________________________ _____________________________________ Commissioner ___________________ Defendant/Respondent (1) To support my Motion for Default Judgment and to comply with the Servicemembers Civil Relief Act, I swear that the following is true (check one): Defendant/Respondent is in military service. Defendant/Respondent is not in military service. I am unable to determine Defendant's/Respondent's military status. (2) I have done the following research to support the above conclusion.
Military Service Declaration
Approved Board of District Court Judges September 10, 2008
Page 1 of 3
(3)
(A certificate from the Department of Defense Manpower Data Center is the preferred evidence of the Defendant/Respondent's military service status. Check this box only if you have attached that certificate.) I visited the Department of Defense Manpower Data Center website
(https://www.dmdc.osd.mil/scra/owa/home) to inquire about military service, and I entered to following identifying information for Defendant/Respondent, which I know to be correct: Social Security Number Name Date of Birth (Last 4 digits only)
(4)
I know the identifying information to be correct because:
(5) I do not know and am unable to discover the Defendant/Respondent's date of birth or social security number. I declare under criminal penalty of Utah Code Section 78B-5-705 that the information in this document is true and correct. I understand that for knowingly making a false statement, I can be fined as provided in Title 18, United States Code, or imprisoned for not more than one year, or both.
Sign here Typed or printed name
Date
Military Service Declaration
Approved Board of District Court Judges September 10, 2008
Page 2 of 3
Certificate of Service
I certify that I served a copy of this Military Service Affidavit on the following people. Served at this Person's Name Method of Service Address Mail Hand Delivery Fax (Person agreed to service by fax.) Email (Person agreed to service by email.) Left at business (With person in charge (Other Party or Attorney)
or in receptacle for deliveries.) Left at home (With person of suitable age and discretion residing there.)
Served on this Date
(Clerk of Court)
Mail Hand Delivery Electronic File Mail Hand Delivery Fax (Person agreed to service by fax.) Email (Person agreed to service by 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.)
Date
Sign here Typed or printed name
Military Service Declaration
Approved Board of District Court Judges September 10, 2008
Page 3 of 3