04/02/2019 1 of 2 Form #OP2018-3 The Court having reviewed the request of the Plaintiff to transfer a wireless phone account from the Respondent to the Plaintiff pursuant to Tennessee Code Annotated 36-3-621, the court finds as follows: 1. Wireless service provider (name): 2. Current account holder (name): Billing telephone number: 3. New account holder (name): 4. Transfer of the following wireless phone number(s): Telephone number (include area code): Telephone number (include area code): Telephone number (include area code): Telephone number (include area code): Check box to include attachment with additional telephone number(s). ORDER TRANSFERING OF RIGHTS AND RESPONSIBILITIES It is hereby ordered: 1. That all rights and responsibilities for the accounts listed #4 including all financial responsibility for the telephone numbers, monthly service costs, and costs for any mobile device associated with the telephone numbers, must be immediately transferred by (wireless phone provider) to the new account holder (person in #3) State of Tennessee Court (Must Be Completed) County (Must Be Completed) Order Transferring Wireless Phone Account File No . (Must Be Completed) Division (Large Counties Only) Plaintiff Defendant American LegalNet, Inc. www.FormsWorkFlow.com 04/02/2019 2 of 2 Form #OP2018-3 2. The person in #3 will be financially responsible for the accounts listed in #4, starting (choose one): The date the account is transferred by the wireless service provider. Specific Date: 3. The person in #3 must send this order and a completed copy of the Attachment to Order Transferring Wireless Phone Account to the wireless service provider listed in #1. For information on where to send this form and the Attachment to Order Transferring Wireless Phone Account, go to the following website: https://tnbear.tn.gov/Ecommerce/FilingSearch.aspx 4. The Attachment to Order Transferring Wireless Phone Account is a confidential form and must NOT be filed with the court. So ordered this day of , 20. Judge/Magistrate American LegalNet, Inc. www.FormsWorkFlow.com