IN THE CHANCERY COURT FOR DAVIDSON COUNTY, TENNESSEE TWENTIETH JUDICIAL DISTRICT _____________________________________________________ Plaintiff(s) Vs. No. _________________________ _____________________________________________________ Defendant(s) Address for Service: ____________________________________________ ____________________________________________ ____________________________________________ Method of Service*: Davidson County Sheriff Commissioner of Insurance Secretary of State Out of County Sheriff Attorney *Attach Required Fees RESTRAINING ORDER This cause came on to be heard this day, and it appearing from the sworn complaint that the rights of the plaintiff(s) are being or will be violated by the defendant(s) and that the plaintiff will suffer immediate and irreparable injury, loss or damage before notice can be served and a hearing had on the application for a Restraining Order; It is, therefore, ORDERED that, upon the plaintiff(s) executing a bond in the amount of __________, the defendant(s), ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ is (are) restrained, pursuant to Rule 65.03, Tennessee Rules of Civil Procedure, from _______________________________________ ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ Plaintiff’s application for a temporary injunction will be heard at ______ __.m., on the ____ day of __________________, 20___, Chancery Court of Davidson County, Part ____, 1 Public Square, Suite 308, Nashville, Tennessee. This _____ day of _____________________________, 20___, at ________ ___.m. ___________________________________ CHANCELLOR Date Issued ________ Cristi Scott, Clerk and Master ____________________________________ Deputy Clerk and Master Received this ______ day of ________________________, 20___. ________________________________________________________ Sheriff – Deputy Sheriff RETURN ON SERVICE OF RESTRAINING ORDER I hereby certify and return, that on the _____ day of ________________, 20____, I served a true copy of this restraining order upon __________________________________________________________, Restrainee, as follows: ___________________________________________________________________________________________________________ _________________________________________________ Sheriff – Deputy Sheriff ADA Coordinator, Cristi Scott (862-5710) 2009 Restraining Order American LegalNet, Inc. www.FormsWorkFlow.com