Party in default: 

 

REQUEST

1. I request the clerk to enter the default of the party named above for failure to plead or otherwise defend as provided by  
 

law.

2. The defaulted party is not an infant or incompetent person.

3. 
 
 
 

 It is unknown whether the defaulted party is in the military service. 
 
 The defaulted party is in the military but there has been notice of pendency of the action and adequate time and  
    opportunity to appear and defend has been provided. Attached, as appropriate, is a waiver of rights and protections   
    provided under the Servicemembers Civil Relief Act. Facts upon which this conclusion is based are: (specify)

 The defaulted party is not in the military service.

4. This request is made on my personal knowledge and, if sworn as a witness, I can testify competently to the facts in  
 

this request.

I declare under the penalties of perjury that this request has been examined by me and that its contents are true to the best 
of my information, knowledge, and belief.

                                                                                                 

Applicant/Attorney signature

                     
                     
                     

Subscribed and sworn to before me on 
 
 
 
My commission expires on 
 
Notary public, State of Michigan, County of 

                     

Date

 

 

 

 

 

 

 

 

 

 

Deputy clerk/Notary public signature

 . 

Name (type or print)
 

 

 . 

 Acting in the County of 

 

 This notarial act was performed using an electronic notarization system or a remote electronic notarization platform.

 

 

 

 . 

 .

STATE OF MICHIGANJUDICIAL DISTRICTJUDICIAL CIRCUITDEFAULTREQUEST AND ENTRYCASE NO. and JUDGECourt addressCourt telephone no.Approved, SCAOForm MC 07, Rev. 6/22MCL 32.517, MCL 600.2441, MCL 600.5759, 50 USC 3931, MCR 2.603Page 1 of 2Distribute form to: Court ApplicantAll other partiesPlaintiff’s name, address, and telephone no.vDefendant’s name, address, and telephone no.Plaintiff’s attorney, bar no., address, and telephone no.Defendant’s attorney, bar no., address, and telephone no.Default Request and Entry 
Page 2 of 2

(6/22) 

Case No. 
 

NOTE: Default can be entered by a district court

DEFAULT ENTRY

clerk without the request of a party.

The default of the party named above for failure to plead or otherwise defend is entered.

 

 

                     

                     

Court clerk signature and date

Use  note:  The  party  who  sought  the  entry  of  the 
default  is  responsible  for  serving  all  parties  in 
accordance with MCR 2.603(A)(2).

CERTIFICATE OF MAILING

I served a copy of this default request and entry on the parties or their attorneys by first-class mail addressed to their last-
known addresses as defined by MCR 2.107(C)(3). I declare under the penalties of perjury that this certificate of mailing has 
been examined by me and that its contents are true to the best of my information, knowledge, and belief.

Date

                                                      

Signature