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(Optional): TELEPHONE NO.: E-MAIL ADDRESS (Optional): ATTORNEY FOR (Name): SUPERIOR COURT OF CALIFORNIA, COUNTY OF STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: BRANCH NAME: PLAINTIFF/PETITIONER: DEFENDANT/RESPONDENT: REQUEST FOR (Application) + Entry of Default CASE NUMBER: Clerk's Judgment Court Judgment TO THE CLERK: On the complaint or cross-complaint filed 1. a. on (date): b. by (name): c. d. + Enter default of defendant (names): I request a court judgment under Code of C.

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