Affidavit of Default on Consent Gen.Revised 9/2017
IN THE MAGISTRATE COURT OF ROCKDALE COUNTY
STATE OF GEORGIA
______________________________________ )
______________________________________ ) Civil Action No.: _______________
Plaintiff(s), )
vs. )
______________________________________ )
______________________________________ )
Defendant(s). )
AFFIDAVIT OF DEFAULT ON CONSENT JUDGMENT
(must be completed)
The Plaintiff(s) affirms the Defendant(s) has/have not made payments as agreed upon in the
Consent Judgment and its/his/her/their payment is past due. The consent judgment balance now due is
$__________________ in principal and $________________ in court costs because:
________(1) The Defendant(s) failed to make any payments. OR
________ (2) The Defendant(s) has made payment(s) pursuant to the consent judgment in the total
amount to-date of $ ________________. The last payment was made on the _______ day of
______________, 20____,
Sworn to and subscribed before me
This _____ day of _____________, 20____. __________________________________
Plaintiff’s or Plaintiff Agent’s Signature
____________________________________ __________________________________
Notary Public/Clerk Print Name of Above Signer
CERTIFICATE OF SERVICE
(must be completed)
I hereby certify that on this date a copy of the above Affidavit of Default on Consent Judgment
was served on the opposing party/parties by hand delivered or first class mail, in an envelope with
sufficient postage affixed thereon and deposited with the U.S. Postal Service addressed as follows:
Below Print the Name(s) and Complete Mailing Address (es) of the Opposing Party/Parties:
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
___________________________________
Plaintiff’s or Plaintiff Agent’s Signature
FINAL JUDGMENT ORDER
IT IS ORDERED AND ADJUDGED that the Plaintiff(s) have and recover from the
Defendant(s) the sum of $________________ in principal and $________________ in court costs with
interest thereon at the legal rate.
SO ORDERED this _____ day of ___________________, 20___.
___________________________________________
CHIEF MAGISTRATE JUDGE PHINIA ATEN
MAGISTRATE COURT OF ROCKDALE COUNTY
ROCKDALE JUDICIAL CIRCUIT
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signature
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