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_____ ____________________________ EX PARTE MOTION FOR DEFAULT JUDGMENT; DECLARATION; EXHIBIT(S) 1 RE: ATTORNEY’S FEES; ORDER Form 3DC17 IN THE DISTRICT COURT OF THE THIRD CIRCUIT  __ DIVISION  THROUGH ; DECLARATION OF COUNSEL STATE OF HAWAI‘I  Plaintiff Defendant Against Defendant: Name(s) Reserved for Court Use Civil No. Filing Party/Attorney Name, Attorney Number, Firm Name (if applicable), Address, Telephone and Fax Number or Email EX PARTE MOTION FOR DEFAULT JUDGMENT Plaintiff moves for an Order Granting Default Judgment against Defendant on the grounds that Defendant 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 Motion is made pursuant to District Court Rules of Civil Procedure, Rule 55(b)(2), and is based upon the attached Declaration, Exhibits 1 through , and the records and files herein. Date: Signature of Filing Party/Attorney: Print/Type Name: DECLARATION I have read this Motion, know the contents and verify that the statements are true to my personal knowledge and belief. I DECLARE  UNDER PENALTY OF PERJURY THAT THE FOLLOWING IS TRUE AND CORRECT:  1. I am Plaintiff or associated with Plaintiff as and submit this based upon the personal knowledge and information from the business records maintained in the ordinary course of business and from entries made therein at or near the time of the events so recorded. 2. The following facts show why Defendant owes the unpaid amounts requested by the Plaintiff. (Attach continuation sheet if necessary). 3. Attached as Exhibits 1 through are correct copies of the documents in support of Plaintiff’s claims for judgment. 4. Based upon my experience as __ , the amount claimed by Plaintiff are fair and reasonable. 5. Defendant is not in the military service of the United States as defined by the Servicemembers Civil Relief Act. Date: Signature of Declarant: Print/Type Name: G G _______ __________________________________________________________ ____________________________________ __________ 3D -P- 268 CommonLook ® Reprographics (09/11) 3D SEE REVERSE 508 Certified (Rev.08/03/2011) Page 1 of 2 Form 3DC17              .................................................................................. .................................................................... ............................................................................. .......................................................................... .............................................................. ......................................................................... .......................................... _______________________ _______________________ _______________________ _______________________ _______________________ _______________________ _______________________ COURT ORDER This Motion is granted. Default Judgment in favor of Plaintiff and against Defendant shall enter as follows: Principal Amount $__ Interest $__ Attorney’s Fees $__ Filing Fee $__ Service Fee $__ Mileage for Service $__ Other Costs $__ Total Default Judgment Amount $ Date: Judge In accordance with the Americans with Disabilities Act and other applicable state and federal laws, if you require an accommodation for a disability when working with a court program, service, or activity, please contact the District Court Administration Office at PHONE NO. (808) 961-7424, FAX (808) 961-7411, or TTY (808) 961-7422 at least ten (10) working days before your proceeding, hearing, or appointment date. For Civil related matters, please call or visit the District Court Civil Section at Hilo Division,  777 Kilauea  Avenue, Hilo, Ph. (808) 961­7515