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____________County,
Tennessee
Case Number
______________________________________________vs. ________________________________________________
Plaintiff(s)
Defendant(s)
[Select one.]
At least five (5) days prior to this application for immediate possession, Plaintiff gave Defendant notice of the time and
place of this application either by certified mail or hand delivery, and the notice was actually received by Defendant,
or was directed to Defendant at the address stated in any writing, signed by Defendant, and on which Plaintiffs claim to
possession is founded; and the notice was accompanied by a copy of the Summons to which this is attached, including
a copy of any writing on which Plaintiffs claim to possession is founded; and Plaintiff is entitled to possession of the
property, or there is no substantial controversy as to the Plaintiffs right to such possession.
The property was obtained by Defendant by fraud, misrepresentation, or theft, or the Defendant is concealing the
property, likely to remove the property from the jurisdiction of the Court, likely to dispose of the property, endangering
the property by unusually hazardous use, or seriously impairing the Plaintiffs security interest in the property, as is
evidenced by the following acts of Defendant: (Give date, place, and facts of what Defendant did that makes Plaintiff
believe
this
provision
applies)_________________________________________________________________________________________.
Plaintiff makes oath that above facts are true and correct to the best of Plaintiffs knowledge, information and belief.
Date:
Plaintiff:
BOND: We,
, Principal, and
,
Surety, do hereby bind ourselves, our heirs, and assigns to Defendant(s) named herein in the penal sum of
Dollars, being equal to or greater than the value of the property described above, this obligation to be void should the Plaintiff abide
by and perform the judgment of the Court.
Date:
Principal:
Surety:
Judge:
Clerk/Deputy Clerk:
SHERIFFS RETURN: Executed by taking possession of the following property and delivering same to Plaintiff:
____________Court
____________County,
Tennessee
Case Number
______________________________________________vs. ________________________________________________
Plaintiff(s)
Defendant(s)
Date:
Sheriff/Deputy Sheriff: