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IN THE DISTRICT COURT FOR THE 		 JUDICIAL DISTRICT
FOR THE STATE OF IDAHO, IN AND FOR THE COUNTY OF 				

						,
		PETITIONER,
	vs.

						,
		RESPONDENT.

State of Idaho, Department of Health and Welfare	
Case No. 					

DEFAULT

 Father,  Mother,   Deputy Attorney General for the State of Idaho, Department of Health and Welfare was served and has failed to plead or otherwise defend within the time allowed;
THEREFORE, default is entered against 						

Date: 													
		 				 	Judge