State of Alabama 
Unified Judicial System 

 

Form CS-5.1           Rev. 11/2012

APPLICATION AND AFFIDAVIT FOR  
  ENTRY OF DEFAULT JUDGMENT
           (PATERNITY/SUPPORT) 

Court Case Number 

N THE ______________________________________COURT OF ___________________________ COUNTY, ALABAMA 
 

                         (Circuit or District) 

     (Name of County) 

 

 

______________________________________________ v. ____________________________________________________ 
 

 
  I, ____________________________ (Name of Affiant), request that the     clerk of court, or     judge, pursuant to 
             Rule 55(b), Alabama Rules of Civil Procedure (Ala.R.Civ.P.), enter a default judgment against the above-named  

                               Plaintiff 

                   Defendant  

            

          

          

 (cid:0)

 

 

                   Defendant,* in the above case for the Defendant's  failing to plead, answer, or otherwise defend.

 

The Affiant, being duly sworn, states as follows: 

   1.   That the Affiant has personal knowledge of the facts set forth in the Affidavit. 
  2.   That the Defendant was served with a Summons and a copy of the        Petition for Support         Complaint for Paternity        Petition            

                   for Contempt         Petition for Modification on __________________ (date). 

3.  That  more  than  ________  days  have  elapsed  since  the  Defendant  was  served  with  a  Summons  and  a  copy  of  the  above-checked

 Petition or Complaint. 

4.    That the Defendant has failed to answer or otherwise defend against the Plaintiff’s Petition or Complaint. 
5.  That this Affidavit is executed by the Affiant in accordance with Rule 55(b), Ala.R.Civ.P., for the purpose of enabling the Plaintiff to obtain a 

               default judgment against the Defendant, for the Defendant’s failing to answer or otherwise defend against the Plaintiff’s Petition or
               Complaint. 

6.  That the Defendant is not an infant or an incompetent person, and there has been no violation of the provisions of Ala. Code 1975,

               Chapter 19, Title 5. 
        7.   That the Defendant       is       is not in military service.

8.  Judgment Conditions: 

 (cid:0) with   (cid:0)  without waiver of exemptions. 

(cid:0) THE SUM OF  

$________________, which is to be determined as follows: 

9.  That the amount of       child support        spousal support claimed by the Defendant to the Plaintiff is 
 
 
  Principal Balance    $________________ 
 
 
 
 
 
                Interest    $________________ 
 
 
 
 
        Attorney Fee    $________________  (if requesting attorney’s fees, it must be determined by the judge, not the clerk). 
 
      
 
     (If provided by contract, note or law) 

 

 

 

 

       

Name of Affiant: _______________________________________ 
Signature of Affiant: ____________________________________ 

): 

Affiant’s Home or Business Address (if not represented by an attorney
____________________________________________________ 

  _

_____________________________________________________ 
City 

             Zip Code 

State 

 

 

ame of Attorney: ______________________________________ 

Signature of Attorney: ___________________________________ 

Business Address of Attorney: ____________________________ 
_____________________________________________________ 
City 

             Zip Code 

State 

 

 

  N

 
  ________________________ 

Officer’s Signature 

 

  __________________ 

      Title 

 
Sworn To and Subscribed Before Me This 

  Date: ___________________ 

 

 

 

 
10.  The Affiant requests entry of judgment:      (cid:0)  By the Court 

 

 

            (cid:0) By the Clerk 

      Default judgment is hereby rendered against the Defendant in the amount of $ ________________ 

_________________________ 
Date 

_____________________________________________________ 
Judge/Clerk 

  

 

 

      
         

   

    

 

 

  I

 

  _

 

 

 

CERTIFICATE OF SERVICE ON OTHER PARTIES 
  I hereby certify that a copy of this Application, Affidavit, and Entry of  Default Judgment          Signed  ________________________
   (Paternity/Support) has been sent, by first class mail, postage prepaid, to all parties who a

 

 

 

               are not in default in this case.  

Rule 55, Ala.R.Civ.P.

 

      Original: Court File 

 

 Copy: Plaintiff 

 

 

 Copy: Defendant