Form CIV-100 Request for Entry of Default (Application to Enter Default) - California

Form CIV-100 or the "Request For Entry Of Default (application To Enter Default)" is a form issued by the California Courts.

Download a PDF version of the Form CIV-100 down below or find it on the California Courts Forms website.

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CIV-100
STATE BAR NO:
ATTORNEY OR PARTY WITHOUT ATTORNEY:
FOR COURT USE ONLY
NAME:
FIRM NAME:
STREET ADDRESS:
CITY:
STATE:
ZIP CODE:
TELEPHONE NO.:
FAX NO.:
E-MAIL ADDRESS:
ATTORNEY FOR (name):
SUPERIOR COURT OF CALIFORNIA, COUNTY OF
STREET ADDRESS:
MAILING ADDRESS:
CITY AND ZIP CODE:
BRANCH NAME:
Plaintiff/Petitioner:
Defendant/Respondent:
CASE NUMBER:
REQUEST FOR
Entry of Default
Clerk's Judgment
Court Judgment
(Application)
Not for use in actions under the Fair Debt Buying Practices Act (Civ. Code, § 1788.50 et seq.)
(see CIV-105)
1.
TO THE CLERK: On the complaint or cross-complaint filed
a.
on (date):
b.
by (name):
c.
Enter default of defendant (names):
d.
I request a court judgment under Code of Civil Procedure sections 585(b), 585(c), 989, etc., against defendant
(names):
(Testimony required. Apply to the clerk for a hearing date, unless the court will enter a judgment on an affidavit under
Code Civ. Proc., § 585(d).)
e.
Enter clerk’s judgment
(1)
for restitution of the premises only and issue a writ of execution on the judgment. Code of Civil Procedure section
1174(c) does not apply. (Code Civ. Proc., § 1169.)
Include in the judgment all tenants, subtenants, named claimants, and other occupants of the premises. The
Prejudgment Claim of Right to Possession was served in compliance with Code of Civil Procedure section
415.46.
under Code of Civil Procedure section 585(a). (Complete the declaration under Code Civ. Proc., § 585.5 on the
(2)
reverse (item 5).)
(3)
for default previously entered on (date):
2.
Judgment to be entered.
Amount
Credits acknowledged
Balance
a.
Demand of complaint . . . . . . . . . . . . .
$
$
$
b.
Statement of damages*
(1)
Special . . . . . . . . . . . . . . . . . . . .
$
$
$
(2)
General . . . . . . . . . . . . . . . . . . . .
$
$
$
c.
Interest . . . . . . . . . . . . . . . . . . . . . . . .
$
$
$
d.
Costs (see reverse) . . . . . . . . . . . . . .
$
$
$
e.
Attorney fees . . . . . . . . . . . . . . . . . . .
$
$
$
f .
TOTALS . . . . . . . . . . . . . . . . . . . . . .
$
$
$
g.
Daily damages were demanded in complaint at the rate of: $
per day beginning
(date):
(* Personal injury or wrongful death actions; Code Civ. Proc., § 425.11.)
3.
(Check if filed in an unlawful detainer case.) Legal document assistant or unlawful detainer assistant information is on the
reverse (complete item 4).
Date:
(TYPE OR PRINT NAME)
(SIGNATURE OF PLAINTIFF OR ATTORNEY FOR PLAINTIFF)
Default entered as requested on
(date):
(1)
FOR COURT
(2)
Default NOT entered as requested
(state reason):
USE ONLY
Clerk, by
, Deputy
Page 1 of 2
Form Adopted for Mandatory Use
Code of Civil Procedure, §§ 585–587, 1169
REQUEST FOR ENTRY OF DEFAULT
Judicial Council of California
www.courts.ca.gov
(Application to Enter Default)
CIV-100 [Rev. January 1, 2018]
CIV-100
STATE BAR NO:
ATTORNEY OR PARTY WITHOUT ATTORNEY:
FOR COURT USE ONLY
NAME:
FIRM NAME:
STREET ADDRESS:
CITY:
STATE:
ZIP CODE:
TELEPHONE NO.:
FAX NO.:
E-MAIL ADDRESS:
ATTORNEY FOR (name):
SUPERIOR COURT OF CALIFORNIA, COUNTY OF
STREET ADDRESS:
MAILING ADDRESS:
CITY AND ZIP CODE:
BRANCH NAME:
Plaintiff/Petitioner:
Defendant/Respondent:
CASE NUMBER:
REQUEST FOR
Entry of Default
Clerk's Judgment
Court Judgment
(Application)
Not for use in actions under the Fair Debt Buying Practices Act (Civ. Code, § 1788.50 et seq.)
(see CIV-105)
1.
TO THE CLERK: On the complaint or cross-complaint filed
a.
on (date):
b.
by (name):
c.
Enter default of defendant (names):
d.
I request a court judgment under Code of Civil Procedure sections 585(b), 585(c), 989, etc., against defendant
(names):
(Testimony required. Apply to the clerk for a hearing date, unless the court will enter a judgment on an affidavit under
Code Civ. Proc., § 585(d).)
e.
Enter clerk’s judgment
(1)
for restitution of the premises only and issue a writ of execution on the judgment. Code of Civil Procedure section
1174(c) does not apply. (Code Civ. Proc., § 1169.)
Include in the judgment all tenants, subtenants, named claimants, and other occupants of the premises. The
Prejudgment Claim of Right to Possession was served in compliance with Code of Civil Procedure section
415.46.
under Code of Civil Procedure section 585(a). (Complete the declaration under Code Civ. Proc., § 585.5 on the
(2)
reverse (item 5).)
(3)
for default previously entered on (date):
2.
Judgment to be entered.
Amount
Credits acknowledged
Balance
a.
Demand of complaint . . . . . . . . . . . . .
$
$
$
b.
Statement of damages*
(1)
Special . . . . . . . . . . . . . . . . . . . .
$
$
$
(2)
General . . . . . . . . . . . . . . . . . . . .
$
$
$
c.
Interest . . . . . . . . . . . . . . . . . . . . . . . .
$
$
$
d.
Costs (see reverse) . . . . . . . . . . . . . .
$
$
$
e.
Attorney fees . . . . . . . . . . . . . . . . . . .
$
$
$
f .
TOTALS . . . . . . . . . . . . . . . . . . . . . .
$
$
$
g.
Daily damages were demanded in complaint at the rate of: $
per day beginning
(date):
(* Personal injury or wrongful death actions; Code Civ. Proc., § 425.11.)
3.
(Check if filed in an unlawful detainer case.) Legal document assistant or unlawful detainer assistant information is on the
reverse (complete item 4).
Date:
(TYPE OR PRINT NAME)
(SIGNATURE OF PLAINTIFF OR ATTORNEY FOR PLAINTIFF)
Default entered as requested on
(date):
(1)
FOR COURT
(2)
Default NOT entered as requested
(state reason):
USE ONLY
Clerk, by
, Deputy
Page 1 of 2
Form Adopted for Mandatory Use
Code of Civil Procedure, §§ 585–587, 1169
REQUEST FOR ENTRY OF DEFAULT
Judicial Council of California
www.courts.ca.gov
(Application to Enter Default)
CIV-100 [Rev. January 1, 2018]
CIV-100
CASE NUMBER:
Plaintiff/Petitioner:
Defendant/Respondent:
4.
Legal document assistant or unlawful detainer assistant (Bus. & Prof. Code, § 6400 et seq.). A legal document assistant or
did not
did
unlawful detainer assistant
for compensation give advice or assistance with this form. If declarant has
received any help or advice for pay from a legal document assistant or unlawful detainer assistant, state:
a.
Assistant's name:
c.
Telephone no.:
b.
Street address, city, and zip code:
d.
County of registration:
e.
Registration no.:
f.
Expires on (date):
Declaration under Code Civ. Proc., § 585.5 (for entry of default under Code Civ. Proc., § 585(a)). This action
5.
a.
is
is not
on a contract or installment sale for goods or services subject to Civ. Code, § 1801 et seq. (Unruh Act).
b.
is
is not
on a conditional sales contract subject to Civ. Code, § 2981 et seq. (Rees-Levering Motor Vehicle Sales
and Finance Act).
c.
is
is not
on an obligation for goods, services, loans, or extensions of credit subject to Code Civ. Proc., § 395(b).
6. Declaration of mailing (Code Civ. Proc., § 587). A copy of this Request for Entry of Default was
a.
not mailed to the following defendants, whose addresses are unknown to plaintiff or plaintiff's attorney
(names):
b.
mailed first-class, postage prepaid, in a sealed envelope addressed to each defendant's attorney of record or, if none,
to each defendant's last known address as follows:
(1)
Mailed on (date):
To (specify names and addresses shown on the envelopes):
(2)
I declare under penalty of perjury under the laws of the State of California that the foregoing items 4, 5, and 6 are true and correct.
Date:
(TYPE OR PRINT NAME)
(SIGNATURE OF DECLARANT)
7.
Memorandum of costs (required if money judgment requested). Costs and disbursements are as follows (Code Civ. Proc.,
§ 1033.5):
Clerk's filing fees
. . . . . . . . . . . . . . . . . . . .
$
a.
b.
Process server's fees
. . . . . . . . . . . . . . . . .
$
c.
Other (specify):
$
d.
$
e.
TOTAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
$
f.
Costs and disbursements are waived.
g.
I am the attorney, agent, or party who claims these costs. To the best of my knowledge and belief this memorandum of costs is
correct and these costs were necessarily incurred in this case.
I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Date:
(TYPE OR PRINT NAME)
(SIGNATURE OF DECLARANT)
8.
Declaration of nonmilitary status (required for a judgment). No defendant named in item 1c of the application is in the military
service as that term is defined by either the Servicemembers Civil Relief Act, 50 U.S.C. App. § 3911(2), or California Military and
Veterans Code section 400(b).
I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Date:
(TYPE OR PRINT NAME)
(SIGNATURE OF DECLARANT)
Page 2 of 2
REQUEST FOR ENTRY OF DEFAULT
CIV-100 [Rev. January 1, 2018]
(Application to Enter Default)
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