Free 2DC16CivilForm - Hawaii

EX PARTE REQUEST FOR DEFAULT JUDGMENT; DEFAULT JUDGEMENT BY CLERK IN THE DISTRICT COURT OF THE SECOND CIRCUIT ______________________________DIVISION STATE OF HAWAI`I
Petitioner(s)

Form #2DC16

Reserved for Court Use

Defendant(s)

Civil No.

Filing Party(ies)/filing Party(ies)' Attorney (Name, Attorney Number, Firm Name (if applicable), Address, Telephone and Facsimile Numbers)

Against Defendant(s): Entry of Default filed:

EX PARTE REQUEST FOR DEFAULT JUDGMENT
Plaintiff(s) requests Default Judgment against Defendant(s) on the grounds that Defendant(s) has failed to answer, appear or otherwise defend, and the time to otherwise move or plead has expired and has not been extended in this action. This request is made pursuant to District Court Rules of Civil Procedure, Rule 55(b)(1). The following is a true and correct calculation of the sums due as reflected on the Verified Complaint filed herein: Amount Claimed ........................................................................................................... ____________________ Interest ........................................................................................................................... ____________________ Costs of Court ............................................................................................................... ____________________ Sheriff's Fees ................................................................................................................ ____________________ Sheriff's Mileage .......................................................................................................... ____________________ 0.00 Total Default Judgment Requested ............................................................................... ____________________ *To recover attorney's fees and/or extraordinary costs, a separate affidavit must e submitted to the Court for approval. Incorporate all sums approved into the final "court form" judgment. Signature of Filing Party(ies )/Filing Party(ies) Attorney: Date: Print/Type Name: DEFAULT JUDGMENT BY CLERK Default Judgment is granted in the sums noted above.

Date:

Clerk of the above-entitled Court In accordance with the Americans with Disabilities Act if you require an accommodation or assistance, please contact the District Court Administration Office at PHONE NO. 244-2800, FAX 244-2849, OR TTY 244-2865 at least ten (10) working days in advance of your hearing or appointment date.

DF2MTNRE.X (Amended 4/18/97)
Reprographics (07/06) 2D-P-229

I certify that this is a full, true, and correct copy of the original on file in this office. Clerk, District Court of the above Circuit, State of Hawai`i

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