COURTROOM 5C STATE OF TENNESSEE, COUNTY OF DAVIDSON Alias No. ____________________ Amended Counter-Claim To Any Lawful Officer to Execute and Return: Summon_______________________________________________________________________ Plaintiff(s) Address to appear before the Metropolitan General Sessions Court of Davidson County, Tennessee, to be held in vs. Telephone Courtroom 5C, Justice A. A. Birch Building, 408 Second Avenue North, Nashville, Tennessee, Defendant on _________________________________, 20__________at 8:45 a.m., then and there to answer in Address a civil action brought by the Plaintiff(s) for: Defendant ________________________________________________________________________________ Address ________________________________________________________________________________ c c ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ CIVIL WARRANT Metropolitan General Sessions Court c c Issued __________________________, 20_____ ________________________________________________________________________________ RICHARD R. ROOKER, Clerk By:___________________________________ Deputy Clerk Day of week ________________________________________________________________________________ _________________________________________________ under $___________________Dollars JUDGMENT Judgment for_____________________________________________________________ against _______________________________________________________________for $__________________________________________________Dollars and cost of suit for Set for 8:45 A.M. on ______________________, 20_____ Courtroom 5C, Justice A. A. Birch Building 408 Second Avenue North P.O. Box 196304 Nashville, Tennessee 37219-6304 Reset for: ______________________________________ Came to hand same day issued and executed as commanded on: ____________________________________________ ____________________________________________ _______________________________________________________ Served:________________________________, 20______ which execution may issue. Entered:__________________________________, 20_______ Sheriff/Process Server To request an ADA accommodation, please contact Dart Gore at (615) 880-3309. ____________________________________________ Judge, Division ______, Metropolitan General Sessions Court Attorney for Plaintiff Telephone Attorney for Defendant American LegalNet, Inc. www.FormsWorkFlow.com TO THE DEFENDANT(S): Failure to appear and answer this Summons will result in AFFIDAVIT NOTICE To the best of my information and belief, after investigation of Defendant's employment, I hereby make affidavit that the Defendant is/is not a member of a military service. ___________________________________________ Plaintiff or Attorney for Plaintiff _______________________________ Notary Public My Commission Expires _________________ judgment by default being rendered against you for the reORDER lief requested. Tennessee law provides a ten thousand dollar ($10,000) 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, _____________________________________________________________________ Entered:_________________20____ _____________________________________ of the items you wish to claim as exempt with the clerk of Judge, Division ______, Metropolitan General Sessions Court the court. This list may be filed at any time and may be ORDER 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 items include Entered:_________________20____ _____________________________________ Judge, Division ______, Metropolitan General Sessions Court items of necessary wearing apparel (clothing) for yourself and your family and trunks and other receptacles necessary ORDER 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 under- _____________________________________________________________________ stand your exemption right or how to execute it, you may _____________________________________________________________________ wish to seek the counsel of a lawyer. Entered:_________________20____ _____________________________________ Judge, Division ______, Metropolitan General Sessions Court American LegalNet, Inc. www.FormsWorkFlow.com