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- 1 - (Name of Plaintiff) (Address) (Phone) SUPERIOR COURT OF NEW JERSEY , CHANCERY DIVISION Plaintiff FAMILY PART, COUNTYvs.CASE NO. , Defendant. )))))))))) REQUEST AND NOTICE OF HEARING TO ENTER DEFAULT UNCONTESTED HEARING COMES, , Plaintiff, and files this Request to Enter Default and would state in support thereof the following: 1.This Court has jurisdiction of the parties and subject matter pursuant to New Jersey Statutes Annotated; Title 2A, Chapters 34-8 and 34-10. 2.Plaintiff would show that , the Defendant, has been served with the Complaint and Summons in this matter. The Defendant has filed a Waiver of Service of Process and Entry of Appearance in connection with these proceedings. 3.Plaintiff would show that more than twenty (20) days have elapsed from the date of service of process.4. The Defendant is not on active duty with the U.S. Armed Forces.WHEREFORE, Plaintiff, requests that the Court enter an Order of Default against the Defendant , granting the Parties a Divorce on the ground of living separate and apart, in separate habitations for a period of eighteen (18) months without reasonable prospect of reconciliation, in accordance with New Jersey Statutes Annotated; Title 2A, Chapters 34—2. Further, that the Separation and Property Settlement be approved by the Court. - 2 - Respectfully submitted,Signature of PlaintiffPrint Name: NOTICE OF HEARING TO:Defendant: Please be advised that a hearing on the Complaint of Plaintiff will be heard by the Superior Court of New Jersey, Chancery Division, Family Part, County, on the day of , 20 at O’clock . m. in Courtroom No. . You are advised to appear and take part in said hearing. Signature of Plaintiff CERTIFICATE OF MAILING I certify that I have mailed by U.S. Mail, postage prepaid, a true and correct copy of the above and aforegoing Request and Notice to Defendant at the address indicated below on the day of , 20 . Defendant Name: Defendant Address: Signature of Plaintiff

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