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Motion And Affidavit (Slow Pay) - Tennessee

Motion And Affidavit (Slow Pay) Form. This is a Tennessee form and can be used in Circuit Court Davidson Local County .
 Fillable pdf Last Modified 7/6/2012
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IN THE CIRCUIT COURT OF DAVIDSON COUNTY, TENNESSEE , Plaintiff(s) vs. , Defendant(s) ) ) ) ) ) ) ) ) ) DOCKET NO: SLOW PAY MOTION AND AFFIDAVIT , Debtor, moves the Court to be permitted to pay to the Circuit Court Clerk the sum of $ per and that all further writs of execution or garnishment be stayed, pending such payments. By direction of the Davidson County Judges, you are required to attach to this Affidavit documentation of your income (employee paystubs, W-2 forms, 1099 forms), documentation of unemployment benefits which you are currently receiving, or documentation of the fact that your unemployment benefits have ceased. In addition, you are required to attach to this Affidavit documents which support your listed monthly living expenses. DEBTOR DEBTOR'S CURRENT MAILING ADDRESS: [Street Address] [City / State / Zip] THIS MOTION IS SET TO BE HEARD ON , 20 , AT .M. BEFORE THE ABOVE COURT LOCATED AT THE DAVIDSON COUNTY HISTORICAL COURTHOUSE. American LegalNet, Inc. www.FormsWorkFlow.com STATE OF TENNESSEE ) COUNTY OF DAVIDSON ) , Judgment Debtor, makes oath that s/he is unable to pay the judgment rendered against him/her in this case, except by the wages or salary earned by him/her. The Debtor is now employed by ______________________________________________________________________________; employer's address is ____________________________________________________________________________; and the Debtor earns the sum of $ per . DEBTOR Sworn to and subscribed before me, this day of , 20 . DEPUTY CLERK CERTIFICATE OF SERVICE I hereby certify that a true and exact copy of this Motion and Affidavit has been sent by U.S. Mail, postage prepaid, to the following: on this the day of , 20 . DEBTOR/DEPUTY CLERK To request an ADA accommodation, please contact Dart Gore at 880-3309. American LegalNet, Inc. www.FormsWorkFlow.com
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