Free ______________________County, Colorado ? Small Claims - Colorado

Small Claims Court _________________________ County, Colorado Court Address:

PLAINTIFF(S): ______________________________________________ Address: ____________________________________________________ City/State/Zip: ________________________________________________ Phone: Home _______________________ Work ___________________ v. DEFENDANT(S): _____________________________________________ Address: ____________________________________________________ City/State/Zip: ________________________________________________ Phone: Home _______________________ Work ___________________

COURT USE ONLY Case Number: Division Courtroom

REQUEST TO SET ASIDE

!

DISMISSAL

! DEFAULT JUDGMENT

UNDER PENALTIES OF PERJURY, I DECLARE THAT THESE STATEMENTS ARE TRUE AND CORRECT. 1. I/We____________________________, am the ! Plaintiff(s) ! Defendant(s) in above captioned case. 2. My claim against the Defendant(s) was/were dismissed on (date) _____________________________. 3.
OR The Plaintiff(s) Judgment was/were entered against me on (date) _____________________________. I/We did not appear in Court on the ! date of the trial or the ! date of the entry of judgment because: _________________________________________________________________________________________________ _________________________________________________________________________________________________

4. I/We believe I/We can provide the following facts to prove my/our case or to establish my/our defense: _______________
_________________________________________________________________________________________________ _________________________________________________________________________________________________

Dated: _________________________________

______________________________________
Signature

______________________________________
Signature

ORDER The Court upon review of Request to Set Aside ! Dismissal ! Default Judgment, ORDERS the following: ! Request DENIED ! Request GRANTED ! Request to be heard by the Court on (date) __________________________. If after the request is heard and the Court finds that the request for dismissal/default judgment should be set aside, the Court ! will proceed immediately to trial at the conclusion of the hearing. ! will re-schedule the trial for another date. THE PARTIES ARE ADVISED TO BRING WITH THEM ON THE SAID DATE ALL OF THE EVIDENCE AND WITNESSES NECESSARY FOR THE COURT TRIAL. Dated: _________________________________ ___________________________________________

!

Judge

!

Magistrate

CERTIFICATE OF MAILING
I hereby certify that on (date)__________________________, I mailed a true and correct copy of the REQUEST TO SET ASIDE DISMISSAL/DEFAULT JUDGMENT, by placing it in the United States Mail, postage pre-paid to the parties at the addresses listed above.

Dated: _________________________________
JDF 253 9/01

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Clerk of the Court/Deputy Clerk REQUEST TO SET ASIDE DISMISSAL/ DEFAULT JUDGMENT