Fill and Sign the Defendant Submits This Application for Entry of Default for a Default Form

Application for Entry of Default Revised February 2011 Page 1 of 2 STATE OF WYOMING ) IN THE DISTRICT COURT ) ss COUNTY OF ________________ ) _______________ JUDICIAL DISTRICT Plaintiff:____________________________, ) Civil Ac tion Case No. ___________ (Print name of person filing) ) ) vs. ) ) Def endant: __________________________. ) (Spouse) (Print name) APPLICATION FOR ENTRY OF DEFAULT The Defendant submits this Application for Entry of Default for a default judgment against the Plaintiff , ________________________________, who has been served the Answer and Counterclaim according to the Certificate of Service dated ________________, and has failed to reply to Defendant’s Counterclaim or otherwise respond, and the time allowed by law for doing so has now expired. Appl ication is made to enter the default against the Plaintiff according to law. DATED this ______ day of _________________, 20____. Signature Printed Name: Address: Phone Number: Subscribed and sworn to before me on this _ ____ day of ___________________, 20_____. WITNESS my hand and notary seal. _________________________________ Notary Public / Court Clerk My commission expires: Application for Entry of Default Revised February 2011 Page 2 of 2 CERTIFICATE OF SERVICE I certify that on (date) the original of this document w as filed with the Clerk of District Court; and, a true and accurate copy of th is document was served on the other party by Hand Delivery OR Faxed to this number OR by placing i t in the United States mail, postage pre -paid, and addressed to the following: TO: ______________________________________ ______________________________________ ______________________________________ Your signatur e Print name