Circuit Court for
City or County Name Name
Case No.
VS.
Street Address City State Zip Code Apt. # Street Address Apt. #
( )
Area Code Telephone City State Zip Code
(
)
Telephone
Area Code
Plaintiff
Defendant
REQUEST FOR ORDER OF DEFAULT
I,
My name Opposing Party Indicate the name of the petition, complaint or motion you originally filed.
, representing myself, request an Order of Default against for failure to file a responsive pleading to:
as provided by the Maryland Rules. The last known address of the opposing party is _________________________________________ _________________________________________
Date Signature
NON-MILITARY AFFIDAVIT
:
Opposing Party
1. 2. 3. 4.
is not in the military service of the United States; is not in the military service of any nation allied with the United States; has not been ordered to report for induction under the Selective Training and Service Act; and is not a member of the Enlisted Reserve Corps who has been ordered to report for military service.
I solemnly affirm under the penalties of perjury that the contents of the foregoing paper are true to the best of my knowledge, information, and belief.
Date
Signature
Page 1 of 2 DR 54 - Revised 25 Aug 2003
Circuit Court for
City or County Name of Plaintiff
Case No.
Name of Defendant
ORDER OF DEFAULT
(Order to be Completed by Court)
This court enters an Order of Default against failure to file a responsive pleading to:
Opposing Party
for ,
Name of Complaint/Petition/Motion
and orders that testimony to support the allegations of the Complaint be taken before
õ one of the Judges or õ a Standing Examiner/Master of this Court.
Judge
Date
IMPORTANT: Person obtaining Order of Default must contact the Clerk's Office at
Telephone Number
for further instructions to schedule a hearing.
Page 2 of 2 DR 54 - Revised 25 Aug 2003