Sworn Denial Form - Tennessee
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1
2Court
County
(Must Be Completed)
(Must Be Completed)
State of Tennessee
Select One
Anderson
File No. __________________
Sworn Denial
(Must Be Completed)
(Sworn Denial on Account)
Division __________________
(Large Counties Only)
Plaintiff/Creditor ________________________________________________________
(Name: First, Middle, Last of person/company that filed lawsuit)
Defendant/Debtor ______________________________________________________
(Name: First, Middle, Last of the other person)
You can use this form if you disagree with any of the Plaintiff's claims.
You should file the original with the court listed above by the court date.
You may have to pay a filing fee. Can’t afford the fee? Ask the court clerk for a paper
called a Request to Postpone Filing Fees and Order (Uniform Civil Affidavit of Indigency).
Or go on the internet to
or
to get the form.
Important! If you do not file this form, you can tell the judge that you disagree. But it is generally
better to file the form to protect your rights.
I swear the following:
I am the Defendant /Debtor in the case listed above.
I believe I do not owe what the Plaintiff/Creditor is asking for, as described in the
Complaint.
I understand that by making this statement, there may be a trial. Defendant submits this
Sworn Denial as allowed by T.C.A. § 24-5-107 and demands strict proof thereof.
Please briefly list some of your reasons for your denial. You can raise additional defenses
at the hearing.
Read below then
sign:
I declare under penalty of perjury under the laws of the State of Tennessee that:
•
The information on this form is true to the best of my knowledge.
Defendant:
Date: __________________________________
Sworn to and subscribed before me this the _______ day of ___________________, 20_______.
______________________________________________________________________________
Name
Notary Public/Deputy Clerk in and for ________________________________County, Tennessee.
My Commission expires on _______________________________________________________.
December 2012
Sworn Denial
Page 1 of 2
Approved by the Tennessee Supreme Court
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