STATE OF MAINE

SUPERIOR COURT
KENNEBEC

- - - - - ------ - -'

SS

DISTRICT COURT
Location _________ _________
DocketNo. _____ _ _ _ _______ _ __

Docket No. CV-14-176

-----------GinA

AFFIDAVIT AND REQUEST FOR

DEFAULT AND DEFAULT JUDGMENT
M.R. Civ. P. 55

Plaintiff
v.
GREGORY ROY

Defendant

(.Mrorn:ey*fcrr.Plaintiff) (Plaintiff), represents, under oath, that each ofthe statements marked below is true, of the
affiant's own knowledge as to the defendant, _G_R_E_G_O_R_Y_R_O_Y_ _ _ _ _ __ __ _ _ _ _ __
1. a)
b)

~ Defendant has failed to appear, plead or otherwise defend this action as required by the Maine Rules

>'f Defendant has appeared, but has failed to plead or otherwise defend this action in that

Default judgment was proper

against Gregory Roy in 1an1ary 2015 for Defendant's faih 1re to appear, plead or othenMise defend this
complaint as req11ired by the Maine Rules

2. a) ljJ Defendant is not a minor or incompetent person.

b) D Defendant is a (minor) (incompetent person) and appearance has been entered for Defendant by
(guardian), (guardian ad litem), (conservator) or<---~----------------'--------________________________________________ other representative.)
ljJ To the personal knowledge of the undersigned, Defendant is not in the Military Service ofthe
United States, as defined in the Servicemembers Civil Relief Act of2003, (50 App USC 51l)(no default
against servicemembers allowed per 50 App USC 521).
This fact is evidenced by the following facts as to residence, employment, etc.:-- - - - -------=-----

3.

Defendant lives and works f11ll-time as a landlord an_d real estate broker in Kennebec County

4.

5.

a)

Plaintiffs claim against Defendant is for a sum certain, or for a sum which can by computation be
made certain, and the amount now due by the Defendant to the Plaintiff on the claim set forth in the
complaint in this action is the sum of$
, plus interest and costs.
b) D The original or copy of any negotiable obligation upon which this action is brought is transmitted to
the Court herewith.
c) ljJ The Plaintiffs claim against Defendant is not for a sum certain, nor for a sum that can by
computation be made certain.
ljJ To the personal knowledge of the undersigned, venue was properly laid in this Court, as shown by
the following facts: The parties reside in Kennebec County and the basis for the cause of action arose in Kennebec County.

Date: March 7, 2016

Affiant

oii'

Personally appeared the above-named affiant and made oath to the foregoing affidavit.

J~

(~G&~iL~\Notary Public/Attorne:y e1: Law __. . . . . : .-, _

CV-061, Rev. 01115

Stae ,&.e C!'~

My Commision expires

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REQUEST FOR DEFAULT AND DEFAULT JUDGMENT

The Plaintiff requests:

(1)
(2)

That the Clerk enter the default of_G_R_E_G_O_RY_ RO_Y

_ __ _ __ _ __ _ _ _ __ _ , defendant.

(a) That judgment by default against the defendant, _ _ _ _ _ __ __ _ __ _ _ _ __ _

be entered by the clerk in the sum of$ _ __ __ _ _ _ _ __ _ _ _ , with interest and costs.
ljJ (b) That judgment by default against the defendant, _G_R_E_G_O_R_Y_R_O_Y_ __ _ _ __ __ __ _ _
be granted by the Court ex parte.
D (c) That judgment by default against the defendant, _ _ __ _ __ __ __ __ _ _ _ __
be granted by the Court upon notice to the defendant or his repres

Date: MARCH 7, 2016

2528 West River Road
Sidney, Maine

(Address)
ENTRY OF DEFAULT

The defendant, _G_R_E_G_O_RY_ R_o_v _ _ _ __ __ _ _ __ _ __ _ has failed to plead or otherwise defend this action,
and Defendant's default is entered.
_ __ _ _ __ __ __ _ __ __ _

Date:-----'----- -- -- -- - -

,Clerk

DEFAULT JUDGMENT BY THE CLERK

A default having been entered, and it appearing by affidavit that the plaintiffs claim is for a sum certain or which can be
made certain by computation; that the defendant is not a minor Qr incompetent person; that the defendant is not in the
military; and that venue is properly laid in this court; (and that the original or copy ofthe negotiable instrument has been
filed wit11 the clerk), judgment is hereby entered for the Plaintiff, _ __ _ _ _ _ __ __ __ _ _ __ __ __
against the Defendant,
for the sum of$ _ _ __ _ _ _ _ _ __ __ _ __ _
with pre-judgment interest at the rate of
, post-judgment interest at the rate of
and costs.
_ __ _ __ _ __ __ __ __ _ _ ,Clerk

Date:

DEFAULT JUDGMENT BY THE COURT

A default having been entered, and it appearing by affidavit that the plaintiffs claim is for a sum certain or which can be
made certain by computation; that the defendant is not a minor or incompetent person; that the defendant is not in the
military; and that venue is properly laid in this court; (and that the original or ~opy of the negotiable instrument has been
filed with the clerk), judgment is hereby entered for the Plaintiff, --~------------,.-----against the Defendant,
for the sum of$ _ _ __ _ _ __ __ _ __ _ _ _ __
with pre-judgment interest at the rate of
, post-judgment interest at the rate of
and costs.
Date:
Judge I Justice
A true copy, Attest: _ __ _ _ _ __ __ _ __ __ __
Clerk

CV-061, Rev. 01115

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