State of Tennessee IN THE CHANCERY COURT FOR HAMILTON COUNTY PLAINTIFF VS. DOCKET N0. DEFENDANT SUMMONS TO DEFENDANT: WHOSE ADDRESS IS OTHER SERVICE INFORMATION You are summoned and required to Answer and make defense to a Complaint herewith served upon you. Your Answer to the Complaint must be filed and served upon plaintiff222s attorney on or before thirty (30) days after service of this Summons and Complaint upon you, exclusive of the day of service. Your Answer must be filed in the OFFICE OF THE CLERK & MASTER, 625 Georgia Avenue, Room 300 Courthouse, Chattanooga, Tennessee 37402. You are also required to serve a copy of your Answer upon the plaintiff222s attorney, or the pro se plaintiff as set out below. If you fail to do so, judgment by default will be taken against you for the relief demanded in the Complaint. ISSUED & TESTED this day of, 20. ROBIN L. MILLER, CLERK & MASTER By: DEPUTY CLERK & MASTER Plaintiff222 Attorney BPR# or Plaintiff if no attorney (pro se) Address Tel. N0. Fax N0. NOT ICE TO DEFENDANT(S) Tennessee Code Annotated 247 26-2-103 provides a $10 ,000.00 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, of the items you wish to claim as exempt with the Clerk & Master. The list may be filed at any time and may be 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 include items of necessary wearing apparel (clothing) for yourself and your family and trunks or other receptacles necessary 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 understand your exemption right or how to exercise it, you may wish to seek the counsel of a lawyer. American LegalNet, Inc. www.FormsWorkFlow.com [Form 114, Rev 2019.01.03] S UMMONS R ETURN I received this summons on . I certify and return that on , I (Date) (Date) served this summons and a complaint on defendant, (Printed Name of Defendant) in the following manner: failed to serve this summons within thirty (30) days after its issuance because: Process Server Name (Printed) Process Server Signature Address American LegalNet, Inc. www.FormsWorkFlow.com