GENERAL SESSIONS COURT OF ____________________ COUNTY, TENNESSEE
STATE OF TENNESSEE vs. _______________________________________
Defendant
CRIMINAL SUMMONS
TO THE DEFENDANT
( ) Based on the affidavit of complaint filed in this case, there is probable cause to believe that you have committed the offense(s) of violation(s) of T.C.A. § ___________________________________ _______________________________________ ( ) _______________________________________ _______________________________________
OFFICER'S RETURN
( )
Summons served by delivering a copy to defendant today or on ______________ ________________________________ ________________________________
State Control # __________________________ Case # _________________________________
INFORMATION ABOUT THE DEFENDANT Name:_____________________________________ Address:____________________________________ DOB:___________________ Sex:______________ Race:___________________ Ht.:_______________ Wt.:_______ Hair:__________ Eyes:____________ Phone:__________________ DL#:______________ Place of Employment:_________________________ ___________________________________________ May be Found at:_____________________________ ___________________________________________ Other:______________________________________ ___________________________________________ ___________________________________________
_______________________________________
Judge/Clerk/Judicial Commissioner Date
( )
________________________________ ________________________________ ________________________________
YOU ARE HEREBY SUMMONED TO APPEAR ( ) In the booking room at _____________________ ___________________________________________
(address of booking office)
Within ten (10) calendar days from date of service of this summons. ( ) To appear before the General Sessions Court of _________________________ County, Tennessee in ___________________________________________ to answer charges on ________________________ at ___________ a.m./p.m.
NOTICE: YOU ARE CHARGED WITH A STATE CRIMINAL OFFENSE. THIS SUMMONS HAS BEEN ISSUED IN LIEU OF AN ARREST WARRANT. YOUR FAILURE TO APPEAR IN COURT ON THE DAY AND TIME ASSIGNED BY THIS SUMMONS OR THE FAILURE TO APPEAR FOR BOOKING AND PROCESSING WILL RESULT IN YOUR ARREST FOR SEPARATE CRIMINAL OFFENSE PUNISHABLE AS PROVIDED IN T.C.A. §39-16609 REGARDLESS OF THE DISPOSITION OF THE CHARGE FOR WHICH YOU WERE ORIGINALLY SUMMONED. YOU ARE ENCOURAGED TO CONSULT WITH AN ATTORNEY ABOUT THIS SUMMONS. THE SIGNING AND ACCEPTANCE OF THIS SUMMONS IS NOT AN ADMISSION OF GUILT OF THE CRIMINAL OFFENSE.
Officer's Signature: _______________________________________ Officer's Name (Printed): _______________________________________ Officer's Agency (Printed): _______________________________________
WITNESSES Summon as witnesses on the part of the State: ___________________________________________ ___________________________________________ ___________________________________________ Summon as witnesses on the part of the Defendant: ___________________________________________ ___________________________________________ ___________________________________________
Date: __________________________________
_______________________________________
Defendant Date
The summons must be executed in triplicate and must include a copy of the affidavit of complaint. Legal Authority: T. C. A. § 40-6-215; TRCRP 4