Comes now the plaintiff, and it appearing to the Court by the summons herein, and the return of the Sheriff endorsed thereon, that said defendant was served a copy of the complaint on the day of , , and that the defendant has not entered an appearance.

And now said defendant, being three (3) times audibly called in Open Court, comes not, but herein wholly makes default.

The Court having heard the evidence and being duly advised in the premises finds for the plaintiff, and that the allegations of plaintiff’s complaint are true, and that there is due the plaintiff from the defendant the sum of $.

IT IS, THEREFORE, ORDERED, ADJUDGED, AND DECREED BY THE COURT that the plaintiff have and recover of said defendant the sum of $, together with court costs in the amount of $.

SO ORDERED, ADJUDGED, AND DECREED BY THE COURT this day of , .