State of Alabama 
Unified Judicial System 

 

Form CS-5            Rev. 11/2012

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

Court Case Number 

N THE ______________________________________COURT OF ___________________________, COUNTY,  ALABAMA
 

                         (Circuit or District) 

        (Name of County) 

 

 

 

                        

            

          
 
______________________________________________ v. ____________________________________________________ 
 
 

 
                               Plaintiff 

                   Defendant  

            

          

          

          

 

 

 

          

(cid:0)  I, ______________________________ (Name of Affiant), request that the clerk of court, pursuant to Rule 55(a), Alabama  

      Rules of Civil Procedure (Ala.R.Civ.P.), enter a default against the above-named Defendant,* in the above case for the 
         Defendant's failing  to plead, answer, or otherwise defend. 

  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 
                                   Partition for Modification on  __________________ (date). 
          Contempt                                                                                  

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(a), Ala.R.Civ.P., for the purpose of enabling the plaintiff to obtain 

                        an entry of default against the Defendant, for the Defendant’s failing to answer or otherwise defend against the Plaintiff’s Petition or 

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, 

                                        Complaint. 

                                        Chapter 19, Title 5.

   

7                                       7.  That the Defendant       is       is not in the military service.
                                         8.  Pursuant to Rule 55(a), Ala.R.Civ.P., the Affiant requests entry of default.

The Affiant, being duly sworn, states as follows: 

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: ________________________ 

 

Entry of default is hereby entered against the above-named Defendant. 

_________________________ 

_____________________________________________________ 

Clerk 

 

CERTIFICATE OF SERVICE ON OTHER PARTIES 

I hereby certify that a copy of this Application, Affidavit, and Entry of Default (Paternity/Support)       Signed  ____________________________    
has been sent, by first class mail, postage prepaid, to all parties who are not in default in this case. 

 

 

Rule 55(a), Ala.R.Civ.P.

*Separate form shall be completed for each defendant in cases involving multiple defendants.

   Original: Court File 

 

 Copy: Plaintiff 

 

 

 Copy: Defendant 

 

 

 

  I

 

  _

 

 

Date