IN THE CIRCUIT COURT OF DAVIDSON COUNTY, TENNESSEE Plaintiff } vs. Docket No. } } Defendant AFFIDAVIT OF CLAIM OF EXEMP TIONS I, , defendant in this cause, having first been duly sworn according to law, make oath that the following is an itemization of personal property currently owned and possessed by me, and the value thereof, and further claim such property as exempt from execution pursuant to Tennessee Law. ITEMS VALUE 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. This day of , 20 . TOTAL $ Defendant Sworn to and subscribed before me this __________ day of _____________________ , 20_____. ________________________________ Deputy Clerk