STATE OF TENNESSEE SUMMONS FOR ENFORCEMENT OF FOREIGN JUDGMENT IN THE CHANCERY COURT FOR WILLIAMSON COUNTY, TENNESSEE CIVIL ACTION NO. Plaintiff Service By: Plaintiff 001 Sheriff vs. 001 Attorney 001 Sec. Of State Defendant 001 Comm. Of Insurance Defendant To the above named Defendant: You are hereby notified that a judgment creditor has filed in the Chancery Court for Williamson County, Tennessee in the above styled case a judgment entered against you in another state. If you object to entry of this judgment or the foreign judgment is on appeal, you must file a response or answer objecting to the enrollment on this judgment in the office of the Clerk and Master of Williamson County, Tennessee on or before thirty (30) days after service of this summons upon you. If you fail to do so, the Clerk and Master may issue execution on the foreign judgment against you. Plaintiff's attorney is , whose address is . Witnessed and issued, Elaine B. Beeler, Clerk and Master for said Court at office this day of , 20. 001001001001001001001001001Clerk & Master/Deputy NOTICE: To the defendant(s): Tennessee law provides a ten thousand dollar ($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 terms 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 (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. Mail list, including docket number, to: Clerk and Master, P.O.Box 1666, Franklin, TN 37065. American LegalNet, Inc. www.FormsWorkFlow.com RETURN ON PERSONAL SERVICE OF SUMMONS I hereby certify and return that I served this summons together with the complaint as follows: Check one: (1) or (2) are for the return of an authorized officer or attorney; an attorney222s return must be sworn to; (3) is for the witness who will acknowledge service and requires the witness222s signature. 001 1. I certify that on the date indicated below I served a copy of this summons on the witness stated above by 001 2. I failed to serve a copy of this summons on the witness because 001 3. I acknowledge being served with this summons on the date indicated below: DATE OF SERVICE: SIGNATURE OF WITNESS, OFFICER OR ATTORNEY: ADDRESS OF PROCESS SERVER (TRCP 4.01) Signature of Notary Public or Deputy Clerk: Commission Expires: RETURN ON SERVICE OF SUMMONS BY MAIL I hereby certify and return that on the day of , 20, I sent, postage prepaid, by registered return receipt mail or certified return receipt mail, a certified copy of the summons and a copy of the complaint in case no. to the defendant , on the day of , 20. I received the return receipt, which had been signed by on the day of , 20. The return receipt is attached to this original summons to be filed by the Chancery Court Clerk and Master. Signature Address (TRCP 4.01) Sworn to and subscribed before me on this day of 20. Commission Expires: Signature of Notary Public or Deputy Clerk CERTIFICATION (IF APPLICABLE) I hereby certify this to be a true and correct copy of the original summons issued in this case. CLERK & MASTER For ADA assistance, please call ADA coordinator: 615-790-5428 American LegalNet, Inc. www.FormsWorkFlow.com