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UNITED STATES DISTRICT COURT EASTERN DISTRICT OF NEW YORK ------------------------------------------------------x

Plaintiff,

REQUEST TO ENTER DEFAULT -CV( )

-against-

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Defendant(s). ------------------------------------------------------x TO: ROBERT C. HEINEMANN, CLERK UNITED STATES DISTRICT COURT EASTERN DISTRICT OF NEW YORK

Please enter default of defendant(s), pursuant to Rule 55(a) of the Federal Rules of Civil Procedure for failure to plead or otherwise defend the above-captioned action as fully appears from the court file herein and from the attached affidavit of Dated: Brooklyn, New York , 2000

By:

UNITED STATES DISTRICT COURT EASTERN DISTRICT OF NEW YORK ------------------------------------------------------x NOTATION OF DEFAULT Plaintiff, -CV-against( )

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Defendant(s). ------------------------------------------------------x

I, Robert C. Heinemann, Clerk of Court of the United States District Court for the Eastern District of New York, do hereby certify that the defendant has not filed an answer or otherwise moved with respect to the complaint herein. The default of defendant, ________________ is hereby noted pursuant to Rule 55(a) of the Federal Rules of Civil Procedure.

Dated: Brooklyn, New York ,2000 ROBERT C. HEINEMANN Clerk of Court

By: Deputy Clerk

UNITED STATES DISTRICT COURT EASTERN DISTRICT OF NEW YORK ------------------------------------------------------x

Plaintiff,

DEFAULT JUDGMENT -CV- ( )

-against-

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Defendant(s). ------------------------------------------------------x The summons and complaint in this action having been duly served on the above-named defendant(s) on and said defendant(s) having failed to plead or otherwise defend in this action, and said default having been duly noted, and upon the annexed declaration of default judgment. NOW, on motion of ORDERED and ADJUDGED that , the attorney for the plaintiff, it is hereby , the plaintiff, does recover of

, the defendant(s), residing at , the sum of $ sum of $ the sum of $ , with $ , the amount claimed, plus interest in the costs and disbursements, and attorney fees in , plus interest at the legal rate in

, amount in all to the sum of $

effect on the date of this judgment; and, that the plaintiff have execution therefor. Dated: Brooklyn, New York , 2000

By: District Judge

UNITED STATES DISTRICT COURT EASTERN DISTRICT OF NEW YORK ------------------------------------------------------x

Plaintiff,

AFFIDAVIT IN SUPPORT OF DEFAULT JUDGMENT -CV( )

-against-

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Defendant(s). ------------------------------------------------------x

, hereby declares as follows: 1. I/We am/are plaintiff(s) in this action.

2. This action was commenced pursuant to

3. The time within which the defendant(s) may answer or otherwise move with respect to the complaint herein has expired; said defendant(s) has/have not answered or otherwise moved

with respect to the complaint, and the time for defendant(s) to do so has not been extended. 4. Said defendant(s) is/are not infants or incompetents. Defendant(s) is/are not presently in the military service of the United States as appears from facts in a credit report prepared for this litigation. 5. Said defendant(s) is/are indebted to the plaintiff(s) in the following manner:

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As a result thereof, plaintiff(s) was/were damaged in the sum of

Wherefore, plaintiff(s) request(s) judgment on each cause of action,

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Wherefore, plaintiff(s),

, requests that the default of the

defendant(s) be noted and that judgment be entered in favor of plaintiff(s) and against defendant(s) in the manner stated herein. I/We declare under penalty of perjury that the foregoing is true and accurate to the best of my/our knowledge, information and belief; that the amount claimed is justly due and owing to plaintiff(s); that no part thereof has been paid; and, that the disbursements sought to be taxed have been made in this action, or will necessarily be made or included in this action.

Dated: Brooklyn, New York , 2000

By: