Free STATE OF WYOMING - Wyoming

STATE OF WYOMING COUNTY OF _______________

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

DISTRICT COURT FOR THE ___________JUDICIAL DISTRICT

_______________________________, Petitioner, vs. ______________________________, Respondent.

Civil Action No.________________

APPLICATION FOR ENTRY OF DEFAULT

The Petitioner submits this Application for Entry of Default for a default judgment against the Respondent, ________________________________, who has been served the Petition for Modification of Child Support and Judgment for Arrears according to the Certificate of Service dated ________________, and has failed to reply to or otherwise respond, and the time allowed by law for doing so has now expired. Application is made to enter the default against the Respondent according to law. DATED this ______ day of _________________, 20____.

Petitioner'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:
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CERTIFICATE OF SERVICE I certify that on (date) the original of this document

was filed with the Clerk of District Court; and, a true and accurate copy of this document was served on the other party by OR Hand Delivery OR Faxed to this number

by placing it in the United States mail, postage pre-paid, and

addressed to the following:

TO: ______________________________________ ______________________________________ ______________________________________

(Your signature)

Print name

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