TENN ESSEE COU RTS
UNIFORM FACSIMILE FILING COVER SHEET
DEBBIE MOSS
TO (CO URT CLERK): ____________________________________________________
WILSON COUNTY CIRCUIT COURT
W ITH (COUR T): ____________________________________________________
(615)449-3420
CLERK’S FAX NU MBER : ____________________________________________________
CASE NA ME: ____________________________________________________
DOC KET NU MBER : ____________________________________________________
TITLE OF D OCU MENT : ____________________________________________________
FRO M (SENDE R): ____________________________________________________
SENDER ’S ADDRESS: ____________________________________________________
____________________________________________________
SENDER ’S VOICE TELEPHO NE NU MBER : ____________________________________
SENDER ’S FAX TELEPHO NE NU MBER : ____________________________________
DATE: _______________ TOTAL PA GES, INCLUDING COVER PAGE: ___________
FILING INST RU CT IONS /COM ME NT S (attach additional sheet if necessary):
Un less authorized by the C ourt, a facs imile transm ission exceed ing ten (10) pag es,
includ ing the cover pa ge, shall not be filed by the clerk.
CONFIRMATION (For Clerk's office use only)
This confirms your facsimile filing listed above was processed by __________ with the filing of
________________________________.
Your service charge pursuant to T.R.C.P. 5A.04 is $________________
Please send your payment along with this cover sheet within 10 days to
:
Wilson County Circuit Court
Wilson County Circuit Court
P O Box 518
P O Box 518
Le
Lebanon, TN 37087
Your facsimile listed above WAS NOT FILED OR PROCESSED due to the following deficiency:
The facsimile was longer than 10 pages and not pre-approved by the Court.
The document you attempted to file by facsimile transmission is prohibited from
filing in this manner by T.R.C.P. 5A.02 (4)