Plaintiff
Street Address
City, State, Zip
Defendant
City, State, Zip
Street Address
Telephone
Telephone
CIRCUIT COURT FOR , MARYLAND
Court Address
Located at Case No.
REQUEST FOR ORDER OF DEFAULT
(Md. Rule 2-613)
I, ,
request an Order of Default against
for failing to file a response to
1. The last known address of the opposing party is:
2. The opposing party was served on . The affidavit of service was filed on
.
3. The opposing party (select one):
is NOT in the military service of the United States; is not in the military service of any
nation allied with the United States; has not been ordered to report for induction under the
Military Selective Service Act; and is not a member of a reserve unit of any branch of the
United States Armed Forces who has been ordered to report for active duty.
is in the military service of the United States.
other
4. (Select one):
The following facts support the above non-military status of the opposing party:
Attached is confirmation from https://scra.dmdc.osd.mil that the opposing party is not in the
military.
I solemnly affirm under the penalties of perjury that the contents of this document are true to the best of my
knowledge, information, and belief.
CC-DR-054 (Rev. 08/2020)
Name
Opposing party
Name of the petition, complaint or motion you originally filed
Date
Signature
Date
Date
vs.
Reset