Fill and Sign the In the District Court for the State of Alaska at Anchorage Form

SC -25 (5/04) (st.3) Dist. Ct. Civ. R. 17(e) AGREEMENT THAT JUDGMENT BE ENTEREDCivil R. 57(b) IN THE DISTRICT COURT FOR THE STATE OF ALASKA AT ) ) ) Plaintiff(s), ) ) vs. ) ) ) ) CASE NO. SC Defendant(s). ) AGREEMENT THAT _______________________________________) JUDGMENT BE ENTERED An action has been filed against me by the plaintiff claiming $ . I, , defendant, agree that I am indebted to , plaintiff, in the following amount as alleged in the complaint: PRINCIPAL _________________________ INTEREST _________________________ COSTS _________________________ TOTAL _________________________ I consent to judgment being entered against me for the amount stated above. I understand that the total judgment will bear interest at the annual rate of percent until paid. I waive any further notice to me prior to the entry of judgment. Print Name and Title Defendant Signature Mailing Address City State ZIP Date ACKNOWLEDGEMENT This is to certify that on , 20_____, the individual who executed the above instrument personally appeared before me in __________________, Alaska, and acknowledged to me that the instrument was signed freely and voluntarily for the purposes stated therein. Clerk of Court, Notary Public or other person (SEAL) authorized to administer oaths. My Commission Expires: ________________ I, , plaintiff, assent to the above Agreement That Judgment Be Entered. Print Name and Title Plaintiff Signature ____________________________________ Mailing Address City State ZIP Date ACKNOWLEDGEMENT This is to certify that on , 20_____, the individual who executed the above instrument personally appeared before me in _________________, Alaska, and acknowledged to me that the instrument was signed freely and voluntarily for the purposes stated therein. Clerk of Court, Notary Public or other person authorized to administer oaths. My Commission Expires: