STATE OF TENNESSEE IN THE CHANCERY COURT OF KNOX COUNTY, TENNESSEE Docket No. SUMMONS DEFENDANT: ADDRESS: You are hereby summoned to defend a civil action filed against you in the Chancery Court for Knox County, Tennessee. Your defense must be made within thirty (30) days from the date this summons and complaint are served upon you, exclusive of the day of service. You must file your defense with the Clerk and Master of Knox County Chancery Court and send a copy to the plaintiff or to low. If you fail to timely defend this action, judgment by default can be rendered against you for the relief demanded in the complaint. s Attorney: Addresddress if pro se): NOTICE TO DEFENDANT(S): 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, of the items you wish to claim as exempt with the clerk of the court. 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 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 this exemption right or how to exercise it, you may wish to seek the counsel of a lawyer. T.C.A. 247 26-2-114. PLAINTIFF(S) DEFENDANT (S) ISSUED this day of , 20 . WI TNESS, Howard G. Hogan, Clerk and Master of said Court, at office in Knoxville, Tennessee. H OWARD G. HOGAN, CLERK AND MASTER By: D.C.M. American LegalNet, Inc. www.FormsWorkFlow.com PROCESS SERVER INFORMATION (REQUIRED to be filled out by Process Server) Name (please print): Address: RECEIVED this day of , 20 . Signature of Process Server R ETURN O F S ERVICE I hereby certify and return that on the day of , 20 (Please indicate one of the following): I served this Summons together with the Complaint as follows: . I did not serve this Summons within thirty (30) days after its issuance because: . Signature of Process Server American LegalNet, Inc. www.FormsWorkFlow.com