Name of Person Filing: Address: City, State, Zip Code: Telephone Number: STATE OF WYOMING COUNTY OF _______________ ) ) ss. ) ) ) ) ) ) ) ) ) ) DISTRICT COURT FOR THE ___________JUDICIAL DISTRICT
_______________________________, Plaintiff, vs. ______________________________, Defendant.
Civil Action No.________________
APPLICATION FOR ENTRY OF DEFAULT
The Defendant submits this Application for Entry of Default for a default judgment against the Plaintiff, who has been served a copy of the Answer and Counterclaim according to the Certificate of Service dated ________________, and has failed to respond to the Defendant's Counterclaim filed in this case, and the time allowed by law for answering or otherwise responding has now expired, application is made to enter the default of the Plaintiff according to law. DATED this ______ day of _________________, 20__. Defendant's Signature Printed Name: Address: Phone Number: Subscribed and sworn to before me on this ____ day of ________________, 20___. WITNESS my hand and notary seal. _________________________________ Notary Public/Clerk of Court My commission expires:
DNCD 6 Application for Entry of Default Revised July 2006 Page 1 of 1