Summons - Chancery Court, Williamson County, State Of Tennessee (Page 2 of 2) in pdf

Summons - Chancery Court, Williamson County, State Of Tennessee Page 2

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 attorney’s return

must be sworn to; (3) is for the witness who will acknowledge service and requires the witness’s

signature.

I certify that on the date indicated below I served a copy of this summons on the

witness stated above by ______________________________________________________________

I failed to serve a copy of this summons on the witness because

______________________________________________________________________________________

I acknowledge being served with this summons on the date indicated below:

DATE OF SERVICE:

SIGNATURE OF WITNESS, OFFICER OR ATTORNEY:

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

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

Summons - Chancery Court, Williamson County, State Of Tennessee Page 2