IN THE CHANCERY COURT FOR THE STATE OF TENNESSEE
TH
20
JUDICIAL DISTRICT, DAVIDSON COUNTY
_____________________________________________________
Plaintiff
Vs.
Case #_______________________________
_____________________________________________________
Defendant
MOTION TO QUASH GARNISHMENT/EXECUTION AND CLAIM EXEMPTION RIGHTS
The Judgment Debtor requests an Order to quash the execution or garnishment of the Judgment Debtor’s money/property and
that the property/money of the Judgment Debtor be released or returned.
As grounds for the release/return of the money/property, the Judgment Debtor would show that the property is exempt under
federal or state law because it is one or more of the following (check each applicable item):
_____________________
Social Security Benefits
_____________________
SSI (Supplemental Security Income) Benefits
_____________________
Unemployment Benefits
_____________________
AFDC Benefits
_____________________
Veteran’s Benefits
_____________________
Exempt governmental pension
_____________________
Exempt health care aids
_____________________
Exempt insurance benefits
_____________________
Exempt “tools of trade”
_____________________
Wages garnished exceed allowable amounts under law
_____________________
Other – Specify:___________________________________________________________________
Judgment Debtor further states that the above money or property was garnished from the following bank (or other third party):
_____________________________________________________________________________________________________________
(insert name of your bank or other garnishee, if applicable)
____________________________________________
Judgment Debtor’s Signature
Address: ____________________________________
___________________________________________
Phone: ____________________________________
CERTIFICATE OF SERVICE
I hereby certify that a true and correct copy of this document has been mailed by first class mail, postage prepaid or personally
delivered to ___________________________________________________________________________________________
(Judgment Creditor or Judgment Creditor’s attorney)
on this _______ day of _________________________, 200__.
____________________________________
Deputy Clerk and Master
TO BE COMPLETED BY CLERK:
NOTICE OF HEARING
Pursuant to provisions of law, a hearing is scheduled at ____ ___.m. on the _____ day of ____________________,
200__, in Chancery Court Part _____.
__________________________________________________
Deputy Clerk and Master
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