IN THE CHANCERY COURT FOR SHELBY COUNTY, TENNESSEE THIRTIETH JUDICIAL DISTRICT AT MEMPHIS POSSESSORY SUMMONS To the Sheriff of Shelby County-Greetings: I hereby command you to summon the Defendant ___________________________________________ ________________________________________________________________ to appear before the Honorable __________________________________ Chancellor of Part ______ of the Chancery Court of Shelby County, Tennessee on the _____ day of ____________, 20 _____, at _______ a.m./p.m., and answer the complaint of the Plaintiff ________________________________________________________________________________ for the recovery of the following property: _______________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ Defendant(s): You are hereby notified if you fail to appear and offer evidence, the Court shall issue Writ of Possession for the property described herein. Tested and Issued the _____ day of __________, 200____. Donna L. Russell, Clerk & Master By _________________________________________D.C. RESTRAINING BOND We, ____________________________________________________________________ Principal, and ________________________________________________________________________________, Surety, do hereby bind ourselves to _____________________________________________________, Defendants(s), in the penal sum of ___________________ Dollars, being no more than the value of the property above described. This ____ day of ___________, 20 ____ ____________________________________ Principal ____________________________________ ____________________________________ Surety RESTRAINING ORDER Upon the Plaintiff posting bond in the amount of $ ___________________, the Defendant(s) is/are hereby restrained from damaging, concealing or removing the described property from the jurisdiction of this Court. __________________________________________ Chancellor Form 00-04/04 American LegalNet, Inc. www.FormsWorkFlow.com WAIVER Docket No. __________________________ Return on Service of Summons I hereby certify that: I/we, _________________________ ____________________________________ ___________________________________, the Defendants herein, acknowledge that the Plaintiff is entitled to possession of the described property, and I/we hereby CHANCERY COURT Shelby County, Tenn. ____ I have served the within Summons by delivering a copy of the Summons and a copy of the Complaint on the following defendant(s): _______________________________ Plaintiff _______________________________ _______________________________ ____ I failed to serve a copy of this Summons and Complaint on the Defendant because, ___________________________________ ____________________________________ ____________________________________ ____________________________________ voluntarily waive any right to a hearing buy tendering the property herewith to the Officer, and I/we acknowledge that if I/we do not appear and answer as to the entire matter on the date specified herein, that a default judgment may be rendered against me/us. VS. {SUMMONS FOR POSSESSORY HEARING _______________________________ Defendant Came to hand ________________________ ____________________________________ ____________________________________ ____________________________________ Defendant(s) ____________________________________ ____________________________________ This ____ day of ______________, 20 ____ at __________ .M. Witnessed: ____________________________________ Deputy Sheriff Bill Oldham, Sheriff Attorney Phone No. By ___________________________ Deputy Sheriff American LegalNet, Inc. www.FormsWorkFlow.com