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Sample Affidavit for Default Judgment – Publication

{LAW FIRM NAME}
{Address}
{City}, {State} {ZIP}
{Telephone:}
{Facsimile: }

{Lawyer Name (Bar No.)}
Email: {}

Attorney for Plaintiff

In the Superior Court of the state of Arizona
In and for the County of Maricopa

[Insurance Company of At-Fault Driver],

Plaintiff,

v.

[Individuals and Entities Including Lienholders Who May Have A Right to Policy Limit Proceeds],

Defendants.

Case No.: ____________________________

 

AFFIDAVIT IN SUPPORT OF APPLICATION FOR ENTRY OF DEFAULT JUDGMENT

(Hon. [Assigned Judge’s Name])

 

STATE OF ARIZONA

COUNTY OF MARICOPA

[Attorney Name], being first duly sworn, upon oath, deposes and says:

  1. I am the attorney for the Plaintiff in this action and make this Affidavit to show the fact and manner of compliance with the provisions of Rule 55, Arizona Rules of Civil Procedure.
  2. Plaintiff has served Defendant [] according to the law in the State of Arizona with a Summons and the Complaint.
  3. Defendant [] has failed to plead or otherwise defend Plaintiff’s Complaint within the time required by the Arizona Rules of Civil Procedure or as permitted by any extension.
  4. Upon information and belief, Defendant [] is not an infant or incompetent, nor in active military service (50 U.S.C.A. § 520).

DATED this ____ day of _____________, _____.

 

 

 

Respectfully submitted,

{law firm name}

By

{NAME OF ATTORNEY}

{Law Firm Address}

{City} {Arizona}, {Zip}

Attorney for Plaintiff

 

 

SUBSCRIBED AND SWORN to before me this _____ day of __________ 20__ by {Name of Attorney}.

 

 

My Commission Expires:

 

_____________________________                 ____________________________________

Notary Public

 

ORIGINAL of the foregoing e-filed

this ____day of ____________. 20__.

 

COPY of the foregoing mailed this

this ____day of ____________. 20__, to:

 

{Counsel of Record}
{Firm Name] {Address] {City] [Arizona], [Zip]

 

{Name of Defendant}{Pro se}
{Address}
{City} {Arizona}, {Zip]

 

 

/s/