Request For Default (Pursuant To Mass.R.Civ.P.55(a))

COMMONWEALTH OF MASSACHUSETTS COUNTY OF THE SUPERIOR COURT Civil Action No. Plaintiff(s) VS. Defendant(s) REQUEST FOR DEFAULT (Pursuant to Mass.R.Civ.P. 55(a)) I, the undersigned attorney, for the above named Plaintiff state that the complaint in which a judgment for affirmative relief is sought against the defendant (s) herein, was filed on and the summons and a copy of the complaint have been served on the Defendant(s) herein on as appears from the officer's return; that the time within which the Defendamt(s) shall serve a responsive pleading or otherwise defend pursuant to Rule 12 (a), has expired and the defendant(s) herein has/have failed to serve or file an answer or otherwise defend as to the complaint. WHEREFORE, the Plaintiff make application that the Defendant(s) be defaulted. SIGNED UNDER THE PENALTIES OF PERJURY Dated // Signature: Print name: Address: Address: City/State/Zip Phone Number American LegalNet, Inc. www.FormsWorkFlow.com