Fillable Civ100 CIV-100 Request for Entry of Default (Application to Enter Default)

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Civ100 CIV-100 Request for Entry of Default (Application to Enter Default)

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TO THE CLERK: On the complaint or cross-complaint filed
(Testimony required. Apply to the clerk for a hearing date, unless the court will enter a judgment on an affidavit under
Code Civ. Proc., § 585(d).)
(1)
(2)
(3)
for restitution of the premises only and issue a writ of execution on the judgment. Code of Civil Procedure section
1174(c) does not apply. (Code Civ. Proc., § 1169.)
Include in the judgment all tenants, subtenants, named claimants, and other occupants of the premises. The
Prejudgment Claim of Right to Possession was served in compliance with Code of Civil Procedure section
415.46.
under Code of Civil Procedure section 585(a). (Complete the declaration under Code Civ. Proc., § 585.5 on the
reverse (item 5).)
by (name):
Enter default of defendant (names):
I request a court judgment under Code of Civil Procedure sections 585(b), 585(c), 989, etc., against defendant
(names):
Enter clerk’s judgment
for default previously entered on
(date):
BalanceAmount Credits acknowledged
c.
d.
e.
a.
b.
on (date):
Judgment to be entered.
Demand of complaint . . . . . . . . . . . . .
Statement of damages*
Special . . . . . . . . . . . . . . . . . . . .
General . . . . . . . . . . . . . . . . . . . .
Interest . . . . . . . . . . . . . . . . . . . . . . . .
Costs (see reverse) . . . . . . . . . . . . . .
Attorney fees . . . . . . . . . . . . . . . . . . .
TOTALS . . . . . . . . . . . . . . . . . . . . . .
per day beginning
(SIGNATURE OF PLAINTIFF OR ATTORNEY FOR PLAINTIFF)
(1)
Default entered as requested on
(2)
FOR COURT
USE ONLY
Clerk, by , Deputy
Page 1 of 2
Code of Civil Procedure, §§ 585–587, 1169
www.courts.ca.gov
Form Adopted for Mandatory Use
Judicial Council of California CIV-100
[Rev. January 1, 2020]
REQUEST FOR ENTRY OF DEFAULT
(Application to Enter Default)
1.
2.
a.
b.
c.
d.
e.
f .
(* Personal injury or wrongful death actions; Code Civ. Proc., § 425.11.)
g.
3.
Default NOT entered as requested
$ $ $
$ $ $
$ $ $
$ $ $
$ $ $
$ $ $
$ $ $
Daily damages were demanded in complaint at the rate of: $
(date):
(Check if filed in an unlawful detainer case.) Legal document assistant or unlawful detainer assistant information is on the
reverse (complete item 4).
(TYPE OR PRINT NAME)
SUPERIOR COURT OF CALIFORNIA, COUNTY OF
BRANCH NAME:
CITY AND ZIP CODE:
STREET ADDRESS:
MAILING ADDRESS:
Plaintiff/Petitioner:
Defendant/Respondent:
FOR COURT USE ONLY
CASE NUMBER:
REQUEST FOR
(Application)
Entry of Default Clerk's Judgment
Court Judgment
CIV-100
ATTORNEY OR PARTY WITHOUT ATTORNEY:
STATE: ZIP CODE:CITY:
STREET ADDRESS:
FIRM NAME:
NAME:
STATE BAR NO:
TELEPHONE NO.: FAX NO.:
E-MAIL ADDRESS:
ATTORNEY FOR (name):
Not for use in actions under the Fair Debt Buying Practices Act (Civ. Code, § 1788.50 et seq.) (see CIV-105)
(2)
(1)
(date):
(state reason):
Date:
not mailed to the following defendants, whose addresses are unknown to plaintiff or plaintiff's attorney
Legal document assistant or unlawful detainer assistant (Bus. & Prof. Code, § 6400 et seq.). A legal document assistant or
on a contract or installment sale for goods or services subject to Civ. Code, § 1801 et seq. (Unruh Act).
on an obligation for goods, services, loans, or extensions of credit subject to Code Civ. Proc., § 395(b).
6.
Declaration of mailing (Code Civ. Proc., § 587). A copy of this Request for Entry of Default was
I declare under penalty of perjury under the laws of the State of California that the foregoing items 4, 5, and 6 are true and correct.
(SIGNATURE OF DECLARANT)
Date:
(TYPE OR PRINT NAME)
Memorandum of costs (required if money judgment requested). Costs and disbursements are as follows (Code Civ. Proc.,
§ 1033.5):
Clerk's filing fees . . . . . . . . . . . . . . . . . . . .
Process server's fees . . . . . . . . . . . . . . . . .
Other (specify):
TOTAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
I am the attorney, agent, or party who claims these costs. To the best of my knowledge and belief this memorandum of costs is
correct and these costs were necessarily incurred in this case.
I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
REQUEST FOR ENTRY OF DEFAULT
(Application to Enter Default)
CIV-100 [Rev. January 1, 2020]
Page 2 of 2
4.
5.
a.
b. on a conditional sales contract subject to Civ. Code, § 2981 et seq. (Rees-Levering Motor Vehicle Sales
and Finance Act).
c.
a.
b.
7.
a.
b.
c.
d.
e.
f.
g.
8.
Assistant's name:
Street address, city, and zip code:
Telephone no.:
County of registration:
Registration no.:
Expires on (date):
Declaration under Code Civ. Proc., § 585.5 (for entry of default under Code Civ. Proc., § 585(a)). This action
is is not
is not
is notis
is
(names):
mailed first-class, postage prepaid, in a sealed envelope addressed to each defendant's attorney of record or, if none,
to each defendant's last known address as follows:
Mailed on (date):
To (specify names and addresses shown on the envelopes):
$
$
$
$
$
Costs and disbursements are waived.
a.
b.
(1)
(2)
(SIGNATURE OF DECLARANT)
Date:
(TYPE OR PRINT NAME)
(SIGNATURE OF DECLARANT)
Date:
(TYPE OR PRINT NAME)
c.
d.
e.
f.
CASE NUMBER:
Plaintiff/Petitioner:
Defendant/Respondent:
CIV-100
Declaration of nonmilitary status (required for a judgment). No defendant named in item 1c of the application is in the military
service as that term is defined by either the Servicemembers Civil Relief Act, 50 U.S.C. App. § 3911(2), or California Military and
Veterans Code sections 400 and 402(f).
did did not
unlawful detainer assistant or compensation give advice or assistance with this form. If declarant has
received any help or advice for pay from a legal document assistant or unlawful detainer assistant, state:
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Civ100 CIV-100 Request for Entry of Default (Application to Enter Default)

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Completed 2 June 2020

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