Fill and Sign the Indiana Affidavit 497306754 Form

STATE OF INDIANA ) IN THE SUPERIOR COURT NO. _________ ) SS: COUNTY OF __________ ) OF ____________ COUNTY ___________________________________ Plaintiff(s) vs. CAUSE NO. __________ ___________________________________ Defendant(s) AFFIDAVIT FOR DEFAULT The plaintiff in this case states that, to the best of his/her knowledge and belief: 1. The defendant(s) in this case, ______________________________________, was/were served with a copy of the Notice of Claim in this case and has/have failed to appear for trial or plead after receiving proper notice. 2. The defendant(s), _______________________________________________, is/are not a minor nor incompetent and the basis of my knowledge of this is as follows: (Check one) ______ (a) I know the defendant(s), ____________________________________, and of my own personal knowledge, I am aware of these facts. ______ (b) I have carefully investigated whether the defendant(s) is/are a minor and received information from ______________________________________ who personally knows the defendant(s) and knows that the defendant(s) is/are not a minor or incompetent. 3. For purposes of complying with the Soldiers’ and Sailors’ Civil Relief Act of 1940, 50 U.S.C. Sec. 520, I state that: (Check one) ______ (a) Defendant(s) is/are not in the active military service of the United States and the source of my knowledge is: (Give facts known to you such as where the defendant(s) live(s), age of defendant(s) if beyond military age, defendant(s)’s employment, etc.) _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ ______ (b) I am unable to ascertain whether or not the defendant(s) is/are in the active military service of the United States. 4. There are no set-offs or counterclaims in favor the defendant(s) against the plaintiff(s). 5. There is due and owing by the defendant(s) to the plaintiff(s) the following: a) Damages $____________________ b) Interest _____________________ c) Attorney fees _____________________ d) Other ______________ ▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬ TOTAL $ _____________________ Court costs _____________________ I affirm, under the penalties for perjury, that the foregoing representations are true. ______________________ ____________________________________ Date Plaintiff