Default Judgment Certificate

IN THE CHANCERY COURT FOR DAVIDSON COUNTY, TENNESSEE TWENTIETH JUDICIAL DISTRICT __________________________________________, ) ) Plaintiff(s), ) ) ) vs. ) Docket No. ______________ ) ) __________________________________________, ) ) Defendant(s). ) ) DEFAULT JUDGMENT CERTIFICATE Plaintiff, by counsel, certifies that: 1. No papers have been served on plaintiffs counsel by the defendant(s) in default. 2. Defendant(s) were served on _____________________________. 3. The balance due is as follows: (a) Total amount of the original obligation $_____________ (b) Amount paid by defendant(s) to be deducted from the original obligation is $_____________ (c) Amount of any interest requested $_____________ (d) Amount of attorney fees requested $_____________ (e) Balance due is $_____________ (f) If the balance due above is different fromthe am ount sought in the motion for default judgment, the reason is: ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ (g) If the basis of the claim is a promissory note, the original has been filed. If not, the reason is: ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________