At least five (5) days prior to this application for immediate possession, Plaintiff gave Defendant notice of the time and place of this application either by certified mail or hand delivery, and  the notice was actually received by Defendant, or was directed to Defendant at the address stated in any writing, signed by Defendant, and on which Plaintiff’s claim to possession is founded; and  the notice was accompanied by a copy of the Summons to which this is attached, including a copy of any writing on which Plaintiff’s claim to possession is founded; and  Plaintiff is entitled to possession of the property, or that there is no substantial controversy as to the Plaintiff’s right to such possession.

	The property was obtained by Defendant by fraud, misrepresentation, or theft, or the Defendant is concealing the property, likely to remove the property from the jurisdiction of the Court, likely to dispose of the property, endangering the property by unusually hazardous use, or seriously impairing the Plaintiff’s security interest in the property, as is evidenced by the following acts of Defendant: (Give date, place, and facts of what Defendant did that makes Plaintiff believe this provision applies)
Plaintiff makes oath that above facts are true and correct to the best of Plaintiff’s knowledge, information and belief. 

Date: 								Plaintiff: 						

Sworn to and subscribed before me on 												
Clerk/Deputy Clerk/Notary Public	
(Notary commission expires 				)

BOND: We, 						, Principal, and 							, Surety, do hereby bind ourselves, our heirs, and assigns to Defendant(s) named herein in the penal sum of 				 Dollars, being equal to or greater than the value of the property described above, this obligation to be void should the Plaintiff abide by and perform the judgment of the Court in the premises.

Date: 					Principal: 					Surety: 				

FIAT: To the General Sessions Court Clerk of  _________________________  County, Tennessee 
Upon Plaintiff giving bond as required by law in the penal sum of  	Dollars, you will upon the filing of the foregoing Warrant, issue a Writ of Possession directing the Sheriff to take possession of the property described herein and deliver same to the Plaintiff and summon Defendant(s) to appear and answer this warrant at such time as may be fixed.

Date: 					Judge: 							

WRIT OF POSSESSION: To the Sheriff or any lawful officer of __________________________ County
Pursuant to the above Fiat, you are hereby commanded to take with you the force of the County, if necessary, and take possession of the within described property from Defendant(s) and give same to Plaintiff, and make immediate return to the Court as to how you have executed this Writ.

Date: 					Clerk/Deputy Clerk: 				

SHERIFF’S RETURN: Executed by taking possession of the following property and delivering same to Plaintiff:
 
Date: 					Sheriff/Deputy Sheriff: