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Default Judgment Certificate Form. This is a Tennessee form and can be use in Davidson Local County.
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Tags: Default Judgment Certificate, Tennessee Local County, Davidson
IN THE CHANCERY COURT FOR DAVIDSON COUNTY, TENNESSEE
________________________________,
Plaintiff(s)
vs.
________________________________,
Defendant(s)
)
)
)
)
) Docket No.__________________
)
)
)
DEFAULT JUDGMENT CERTIFICATE
Plaintiff, by counsel, certifies that:
1. No papers have been served on plaintiff’s counsel by the defendant(s) in default.
2. Defendant(s) were served on ___________________________________.
3. The amount due is as follows:
(a) Total amount of the original obligation $ _______________________.
(b) Amount paid by defendant(s) to be deducted from the original
obligation is $_______________________.
(c) Amount of any interest requested $_____________________.
(d) Amount of Attorney fees requested $____________________.
(e) Balance due is $____________________.
(f) If the balance due above is different from the amount sought in the default
judgment, the reason is:
_____________________________________________________
_____________________________________________________
______________________________________________________
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(g) If the basis of the claim is a promissory note, contract, or account, the original
copy has been filed. If not, please attach or explain the absence.
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
(h) If attorney fees are requested state the basis for the fee obligation and attach
documentation if not already in the record. _____________________________
________________________________________________________________
________________________________________________________________
(i) If attorney fees are requested, attach attorney affidavit specific enough to allow
the judge or chancellor to set the fee in compliance with RPC 1.5 (a).
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