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This form has both an Affidavit for Default Judgment and an Order. → You must fully complete the Affidavit for Default Judgment.The affidavit must contain the COMPLETE caption setting forth the name of the. Court, names of parties, bankruptcy and adversary case numbers, and must be. When this document is properly completed and filed, Default has been applied for and entered. The Default will be effective ten. Small Claims Form 3. 16: Affidavit of Default. I RESPECTFULLY REQUEST that the Clerk enter a default judgment and set the matter for a hearing as soon as possible. Request an Order of Default against for failing to file a response to. 1.