Motion and Affidavit to Set Aside Default
(Form DC 99)
Use this form if the court entered a default against you 
for failure to appear or answer in a small claims, 
landlord-tenant, or general civil case and you want the 
default set aside.
If the court requires a hearing on the motion, the court
will notify you and the plaintiff of the date, time, and
location of the hearing.
After the court enters the order on your motion, the
court will send copies of the order to you and the
plaintiff.
If a default judgment has already been entered, you
must file this motion within 21 days after the default
was entered in a general civil case, 21 days after the
default was entered in a small claims case, or within 10
days after the default was entered in a landlord- tenant
case.
MOTION AND AFFIDAVIT
1. a. A default was entered against me on for failure to answer. appear.
I was personally served with the default and a judgment has not been entered yet.
b. A default judgment was entered against me on for failure to answer. appear.
21 days (General Civil)
I was personally served with the default judgment. 21 days (Small Claims) has not yet passed since default entered.
10 days (Landlord-Tenant)
c. Bond in the amount of one month's rent $ is posted with the court.
2. I have good cause for my failure to appear/answer as follows: (Explain the reasons. Attach a separate sheet if needed.)
3. My defense to the complaint has merit as follows: (Specify the meritorious defense. Attach a separate sheet if needed.)
4. I request that the default/default judgment be set aside in this case and, if required, I agree to appear on the date scheduled
by the court to state my reasons for this request.
Subscribed and sworn to before me on , County, Michigan.
My commission expires: Signature:
Notary public, State of Michigan, County of
NOTICE OF HEARING
A hearing is scheduled on this matter on at
at before Hon. .
CERTIFICATE OF MAILING
I certify that on this date I served a copy of this motion and notice of hearing on the parties or their attorneys by first-class mail
addressed to their last-known addresses as defined in MCR 2.107(C)(3).
STATE OF MICHIGAN
CASE NO.
Original - Court
1st copy - Plaintiff
2nd copy - Defendant
Approved, SCAO
Court address
Court telephone no.
JUDICIAL DISTRICT
DC 99 (3/08) MOTION AND AFFIDAVIT TO SET ASIDE DEFAULT
Defendant's name, address, and telephone no.
Plaintiff's name, address, and telephone no.
v
MOTION AND AFFIDAVIT
TO SET ASIDE DEFAULT
Signature
Date
Date
Date
MCR 2.603(D), MCR 4.201(M)
Date
Signature
Date
Time
Date
Signature
Location Bar no.
3B
125 W. Main St, PO Box 67, Centreville, MI 49032
269-467-5623
STATE OF MICHIGAN
CASE NO.
Original - Court
1st copy - Plaintiff
2nd copy - Defendant
Approved, SCAO
JUDICIAL DISTRICT
DC 99 (3/08) MOTION AND AFFIDAVIT TO SET ASIDE DEFAULT
MOTION TO SET ASIDE DEFAULT
MCR 2.603(D),
MCR 4.201(M)
Defendant name
Plaintiff name
v
3B
125 W. Main St, PO Box 67, Centreville, MI 49032
2. Reasons Continued.
3. Defense Continued.