IN THE CHANCERY COURT OF SHELBY COUNTY,TENNESSEE FOR THE THIRTIETH JUDICIAL DISTRICT AT MEMPHIS ___________________________________ Plaintiff, vs Docket No:______________________ ___________________________________ Defendant. DESIGNATION OF RECORD ON APPEAL Comes now the (plaintiff/defendant), ___________________________________________ and hereby designates under Rule 24 of the Tennessee Rules of Appellate Procedures for the following documents to be included in the record on appeal: Respectfully Submitted, ________________________________ Attorney/ BPR No. ________________________________ ________________________________ Address Certificate of Service I hereby certify that a true and correct copy of the foregoing document was sent via first class prepaid mail upon the following parties on this ________ day of __________________, 20_____. American LegalNet, Inc. www.USCourtForms.com