Fill and Sign the In the Court of Alabama Form

State of Alabama Unified Judicial System Form C-25A Rev. 1 1/15 APPLICATION AND AFFIDAVIT FOR ENTRY OF DEFAULT JUDGMENT Case Number IN THE ______________________________________COURT OF _____________________________________, ALABAMA (Circuit or District) (Name of County) _______________________________________________ v. _____________________\ _______________________________ Plaintiff Defendant I, affiant, request that the clerk of court, or judge, pursuant to Rule 55(b), Alabama Rules of Civil Procedure (ARCP), enter a default judgment against the above - named defendant,* in the above case for the defendant's faili ng to plead, answer, or otherwise defend. CERTIFICATE OF SERVI CE ON OTHER PARTIES I hereby certify that a copy of this Application, Affidavit, and E ntry of Default Judgment has been Signed ________________________ sent, by first class mail, postage prepaid, to all parties who are not in default in this case. The affiant, ___________________________________________________________\ _______, being duly sworn, states as follows: 1. That the affiant has personal knowledge of the facts set forth in the affidavit. 2. That the defendant was served with a summons and a copy of the Statement of Claim/Complaint on (date) __________________. 3. That more than ________ days have elapsed since the defendant was served with a summons and a copy of the Statement of Claim/Compliant. 4. That the defendant has failed to answ er or otherwi se defend against the plaintiff’s Statement of Claim/Complaint. 5. That this affidavit is executed by the affiant in accordance with Rule 55(b), ARCP, for the purpose of enabling the plaintiff to obtain a default judgment against the defendant, for the defendant’s failing to answer or otherwi se defend against the plaintiff’s Statement of Claim/Complaint. 6. That the defendant is not an infant or an incompetent person, and there has been no violation of the provisions of Ala. Code 1975, Chapter 1 9, Title 5 . 7. That the defendant is is not in military service. 8 . Judgment Conditions: wi th without waiver of exemptions. 9. That the amount of money claimed by the defendant to the plaintiff is THE SUM OF $________________, w hich is to be determined as follows: Principal Balance $________________ Interest $________________ Court Costs $________________ Attorney Fee $________________ (if requesting attorney’s fees, it must be determined by the judge, not the clerk). (If provided by contract, note or law) SPECIFY PROPERTY (Describe, on a separate sheet of paper, property of which the plaintiff demanded \ right to possession from the defendant in the Statement of Claim/Complaint.) 10. The affiant requests entry of judgment: By the Court By the Clerk Sw orn To and Subscribed Before Me This Date: ___________________ ________________________ __________________ Officer’s Signature Title Name of Affiant: _______________________________________ Signature of Affiant: ____________________________________ Affiant’s Home or Business Address (if not represented by an attorney): _____________________________________________________ _____________________________________________________ City State Zip Code Name of Attorney: ______________________________________ Signature of Attorney: ___________________________________ Business Address of Attorney: ____________________________ _____________________________________________________ City State Zip Code Default judgment is hereby rendered against the defendant in the amount \ of $ ________________ _________________________ Date _____________________________________________________ Judge/Clerk Default judgment is hereby rendered against the defendant and the plaintiff is awarded right to posession of the property sworn to in the affidavit above. _________________________ Date _____________________________________________________ Judge/Clerk Rule 55, ARCP * Separate form shall be completed for each defendant in cases involving multiple defendants. Pursuant to Ala. Code 1975, §12-19-71(a) (10), a filing fee is required when seeking a default ju\ dgment pursuant to Rule 55(b), ARCP. Original – Court File Copy – Plaintiff Copy - Defendant