Form E-10 IN THE UNITED STATES BANKRUPTCY COURT FOR THE MIDDLE DISTRICT OF TENNESSEE In re: _________________________ Case Number _________________ Adv Proc No. _________________ Debtor(s). _________________________ Plaintiff(s), v. ______________________ _______________________ Defendants. MOTION TO PAY JUDGMENT BY INSTALLMENTS Pursuant to T.C.A. § 26-2-216, the Judgment Debtor moves the Court to be permitted to pay the Judgment Creditor to begin on (frequency of payment i.e., weekly, monthly the sum of $ (date) and to continue thereafter until the judgment of $ entered against the Judgment Debtor has been paid. The Judgment Debtor also requests that all further garnishments by the same Judgment Creditor against wages or salary be stayed, contingent upon compliance with such payments. The filing of this motion will stop the garnishment of wages for as long as the Judgement Debtor makes payments ordered by the Court (T.C.A § 26-2-216). Signature of Judgment Debtor or Attorney: Address and Telephone number: American LegalNet, Inc. www.FormsWorkflow.com Form E-10 AFFIDAVIT STATE OF COUNTY OF I, Judgment Debtor, make oath that I am unable to pay the judgment rendered against me in this case with funds other than those earned by me as wages or salary. I am now employed by (list employer and address): . I earn the sum of $ (gross/net) which is paid (describe your pay schedule e.g., every Friday, the 1st and 15th, etc.). My other sources of income are total $ which each month (enter N/A if none). Judgment Debtor’s Signature Sworn to and subscribed before me this _______ day of _________________, 20 ____. Notary Public CERTIFICATE OF SERVICE I, Judgment Debtor/counsel for Judgment Debtor, hereby certify that a true and correct copy of this document has been mailed by first class mail, postage prepaid or personally delivered to the Judgment Creditor/ Judgment Creditor’s Attorney* (CIRCLE ONE) on this __________ day of _________________________, 2002. Signature of Judgment Debtor or Attorney * You may obtain these addresses from the Clerk’s Office, 615-736-5590, ext. 2 or 3. American LegalNet, Inc. www.FormsWorkflow.com