Free Microsoft Word - formcir_slowpay.doc - Tennessee

IN THE

CIRCUIT COURT OF DAVIDSON COUNTY, TENNESSEE

Plaintiff(s) vs. Defendant(s)

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DOCKET NO.

MOTION AND AFFIDAVIT
, Debtor, moves the Court to be permitted to pay to the Circuit Court Clerk the sum of $ per and that all further writs of execution or

writs of garnishment be stayed, pending such payments.

DEBTOR

STATE OF TENNESSEE COUNTY OF DAVIDSON

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, Judgment Debtor, makes oath that he/she is unable to pay the

judgment rendered against him/her in this case, except by the wages or salary earned by him/her. The Debtor is now employed by employer's address is and the Debtor earns the sum of $ per . ,

DEBTOR Sworn to and subscribed before me this day of , 20 .

_______________________________
DEPUTY CLERK

CERTIFICATE OF SERVICE
I certify that a copy of this Motion is being mailed to this _______________ day of _________________________, 20______.
DEBTOR/DEPUTY CLERK

__________________________________________

THIS MOTION IS EXPECTED TO BE HEARD ON
If you have a disability and require assistance, please contact 862-5204.

AT

A.M.

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