SUPREMEi COURT OF QUEENSLAND

REGISTRY: NUMBER: Plaintiffii (Insert Name)

AND

[First] Defendant (Insert Name)

AND

[Second Defendant] (Insert Name)

REQUEST FOR DEFAULT JUDGMENT

The Plaintiff requests the Registrar to give judgment [If more than one defendant, add: against the First Defendant (or as the case may be)] in default of filing of a Notice of Intention to Defend in response to this claim.

The claim was served on the [First] Defendant on (date) as is shown by the affidavit of (name of deponent) filed on (date).

The claim [against the First Defendant] is for $(amount) as a debt or liquidated demand with (or without) interest. [or: The claim is for unliquidated damages, and the plaintiff requests judgment conditional on the assessment of damages. The plaintiff asks that the damages be assessed by the court (or as the case may be: see R. 507.)] [or: The claim is for the detention of goods, and the plaintiff requests judgment for the value of the goods to be assessed [and damages for their detention], and asks that the value [and damages] be assessed by the court (or as the case may be: see R. 507.)] [or: The claim is for the detention of goods, and the plaintiff requests judgment for the return of the goods or payment of their value to be assessed [and damages for their detention] and asks that the value [and damages] be assessed by the court (or as the case may be: see R. 507.)] [or: The claim is for the recovery of possession of land only, and the plaintiff’s claim is not for delivery of possession under a mortgage.] [or: The defendant has, since the claim was issued, satisfied the plaintiff’s claim for relief, and the plaintiff requests a judgment for costs alone. (See R. 289)]

No Notice of Intention to Defend has been served at the address for service of the plaintiff.

The relief claimed remains unsatisfied (or as the case may be) as appears from the affidavit of (name of deponent) filed with this request.

If the plaintiff claims interest on a debt or liquidated demand, add: The amount of interest claimed, calculated in accordance with the particulars in the statement of claim, is $ (amount, and set out how this is calculated) [or: The plaintiff also claims interest under part 8 of the Civil Proceedings Act 2011 at the rate of (rate)% per annumiii, that is $ (amount, and set out how this is calculated) ______REQUEST FOR DEFAULT JUDGMENT Name: Filed on Behalf of the Plaintiff (or Defendant etc) Address: Form 25, Version 2 Uniform Civil Procedure Rules 1999 Phone No: Rules 283-287, 289 Fax No: or: The plaintiff elects to abandon the claim for interest. (See R.283(5)) ]

[The plaintiff also claims $(amount) costs as prescribed, made up as follows: (set out details)]

Signed: (plaintiff or solicitor)

Description: (of signatory)

Date:

Note: i . For an application in the District Court or a Magistrates Court, substitute “District Court” or “Magistrates Courts” respectively. ii . If the matter was commenced by way of Originating Application the heading should read “Applicant” in lieu of “Plaintiff” and “Respondent” in lieu of “Defendant”. iii . If this rate is higher than that specified in a practice direction for any period mentioned in the direction, that must be disclosed in this request, and the request must contain the reasons why a higher rate is sought, with any facts relied on verified by affidavit.