Tennessee > Statewide > Trial And General Sessions Courts
Criminal Injuries Compensation - Tennessee
| Criminal Injuries Compensation Form. This is a Tennessee form and can be used in Trial And General Sessions Courts Statewide . |
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____________ Court Case Number ______________County CRIMINAL INJURIES ________________Tennessee COMPENSATION Page 1 of 1 State of Tennessee vs. Defendant(s) _____________________________________________________________ To: Commissioner Department of Correction, State Office Building, Nashville, TN 37219 This is to certify that the defendant in the above-captioned case has be en assessed a privilege tax in the amount of $__________. The Department of Correction is hereby placed on notice that the defendant: Has paid his privilege tax in full. Has paid $___________________ towards his privilege tax. Has not paid any amount of his privilege tax. Issued: ___________________ ______________________________ Clerk / Deputy Clerk - Circuit Cour t
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