Free Military Service Declaration - Utah

My Name Address City, State, Zip Phone E-mail I am the Plaintiff Defendant Attorney for the _________ In the

Plaintiff

Defendant and my Utah Bar number is

District

Justice Court of Utah

__________ Judicial District ________________ County Court Address ______________________________________________________ _____________________________________ Military Service Declaration
Plaintiff

Case Number ___________________ v. Judge _________________________ _____________________________________
Defendant

And _____________________________________
Defendant

To support my Motion to Enter Default Judgment and to comply with the Servicemembers Civil Relief Act, I state that the following is true. (1) Plaintiff
(check one)

Defendant is in default and:

Is in military service. Is not in military service. I am unable to determine military status.

Military Service Declaration

Approved Board of District Court Judges September 10, 2008

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(2)

I have done the following research to support the above conclusion.

(3)

(A certificate from the Department of Defense Manpower Data Center is the preferred evidence of 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 Plaintiff Defendant, 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 date of birth or social security number.

Plaintiff's

Defendant's

I have not included any non-public information in this document. I declare under penalty of Utah Code Section 78B-5-705 that everything stated 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 2