Free STATE OF WYOMING - Wyoming

STATE OF WYOMING COUNTY OF _______________

) ) ss. ) ) ) ) ) ) ) ) ) )

DISTRICT COURT FOR THE ___________JUDICIAL DISTRICT

_______________________________, Plaintiff, vs. ______________________________, Defendant.

Civil Action No.________________

APPLICATION FOR ENTRY OF DEFAULT

The Plaintiff submits this Application for Entry of Default for a default judgment against the Defendant, who has been served the Summons and Complaint according to the Affidavit/Return of Service stating that Defendant was served on ______________[date], and has failed to appear and answer the Plaintiff's Complaint filed in this case or otherwise respond, and the time allowed by law for answering or otherwise responding has now expired, application is made to enter the default of the Defendant according to law. DATED this ______ day of _________________, 20____.

Plaintiff'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 / Court Clerk My commission expires:
DWCP 17 Application for Entry of Default Revised July 2006 Page 1 of 1