Free Microsoft Word - formcir_summonscivil.doc - Tennessee

CIRCUIT COURT SUMMONS

NASHVILLE, TENNESSEE

STATE OF TENNESSEE DAVIDSON COUNTY TH 20 JUDICIAL DISTRICT
CIVIL ACTION DOCKET NO.

First Alias Pluries

Plaintiff Vs.

Method of Service: Davidson County Sheriff Out of County Sheriff Secretary of State Certified Mail Personal Service Commissioner of Insurance

Defendant
To the above named Defendant:

You are summoned to appear and defend a civil action filed against you in the Circuit Court, 1 Public Square, Room 302, P.O. Box 196303, Nashville, TN 37219-6303, and your defense must be made within thirty (30) days from the date this summons is served upon you. You are further directed to file your defense with the Clerk of the Court and send a copy to the Plaintiff's attorney at the address listed below. In case of your failure to defend this action by the above date, judgment by default will be rendered against you for the relief demanded in the complaint.

ISSUED: _____________________ By:

RICHARD R. ROOKER
Circuit Court Clerk Davidson County, Tennessee

Deputy Clerk

ATTORNEY FOR PLAINTIFF or
Address

PLAINTIFF'S ADDRESS TO THE SHERIFF:
Please execute this summons and make your return hereon as provided by law.

RICHARD R. ROOKER
Circuit Court Clerk

Received this summons for service this _________ day of ________________, 20____.

__________________________________ SHERIFF
If you have a disability and require assistance, please contact 862-5204.

RETURN ON PERSONAL SERVICE OF SUMMONS
I hereby certify and return that on the _____________ day of _____________________________________, 20______, I: served this summons and complaint/petition on in the following manner:

failed to serve this summons within 90 days after its issuance because

Sheriff/Process Server RETURN ON SERVICE OF SUMMONS BY MAIL
I hereby certify and return, that on the day of , 20 I sent, postage prepaid by

registered return receipt mail or certified return receipt mail, a certified copy of the summons and a copy of the complaint in Docket No. to the defendant, , 20 by on the . On the day of

, I received the return receipt for said registered or certified mail, which had been signed day of , 20 . Said return

receipt is attached to this original summons and both documents are being sent herewith to the Circuit Court Clerk for filing.

SWORN TO AND SUBSCRIBED BEFORE ME ON THIS ________ DAY OF ______________________, 20_____. _______________________________________________ ________NOTARY PUBLIC or ________DEPUTY CLERK MY COMMISSION EXPIRES: ______________________ NOTICE
PLAINTIFF, PLAINTIFF'S ATTORNEY OR OTHER PERSON AUTHORIZED BY STATUTE TO SERVE PROCESS

TO THE DEFENDANT(S):

Tennessee law provides a four thousand dollar ($4,000.00) debtor's equity interest personal property exemption from execution or seizure to satisfy a judgment. If a judgment should be entered against you in this action and you wish to claim property as exempt, you must file a written list, under oath, of the items you wish to claim as exempt with the clerk of the court. The list may be filed at any time and may be changed by you thereafter as necessary; however, unless it is filed before the judgment becomes final, it will not be effective as to any execution or garnishment issued prior to the filing of the list. Certain items are automatically exempt by law and do not need to be listed; these include items of necessary wearing apparel (clothing) for yourself and your family and trunks or other receptacles necessary to contain such apparel, family portraits, the family Bible, and school books. Should any of these items be seized, you would have the right to recover them. If you do not understand your exemption right or how to exercise it, you may wish to seek the counsel of a lawyer.

ATTACH RETURN RECEIPT HERE (IF APPLICABLE)

STATE OF TENNESSEE COUNTY OF DAVIDSON
(To be completed only if copy certification required.)

I, Richard R. Rooker, Clerk of the Circuit Court in the State and County aforesaid, do hereby certify this to be a true and correct copy of the original summons issued in this case. RICHARD R. ROOKER, CLERK By: _________________________________________D.C.

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