Approved, SCAO
Original - Court 1st copy - Applicant Copies - All other parties
STATE OF MICHIGAN JUDICIAL DISTRICT JUDICIAL CIRCUIT
Court address
CASE NO. DEFAULT REQUEST, AFFIDAVIT, AND ENTRY
Court telephone no.
Plaintiff name(s), address(es), and telephone no(s).
Defendant name(s), address(es), and telephone no(s).
v
Plaintiff's attorney, bar no., address, and telephone no.
Defendant's attorney, bar no., address, and telephone no.
Party in default: REQUEST AND AFFIDAVIT 1. I request the clerk to enter the default of the party named above for failure to plead or otherwise defend as provided by law. 2. The defaulted party is not an infant or incompetent person. 3. It is unknown whether the defaulted party is in the military service. The defaulted party is not in the military service. The defaulted party is in the military but there has been notice of pendency of the action and adequate time and opportunity to appear and defend has been provided. Attached, as appropriate, is a waiver of rights and protections provided under the Servicemembers Civil Relief Act. Facts upon which this conclusion is based are: (specify)
Applicant/Attorney signature
Bar no.
Subscribed and sworn to before me on My commission expires:
Date
Date
, Signature:
Deputy court clerk/Notary public
County, Michigan.
Notary public, State of Michigan, County of
NOTE: Default can be entered by a district court clerk without the request of a party.
DEFAULT ENTRY
The default of the party named above for failure to plead or otherwise defend is entered.
Date Court clerk
CERTIFICATE OF MAILING I certify that on this date copies of this default were served on the appropriate parties or their attorneys by first-class mail addressed to their last-known addresses as defined by MCR 2.107(C)(3).
Date MC 07 (3/09) Signature
DEFAULT REQUEST, AFFIDAVIT, AND ENTRY
MCL 32.517, MCL 600.2441, MCL 600.5759, MCR 2.603, 50 USC 521