Pursuant to TCA 29-30-104(f), the following language should appear as an attachment to the summons to recover personal property if the action is to recover personal property to satisfy a lien on a motor vehicle for repayment of loan:

I (we), _________________________________________________________________, the defendants herein, acknowledge that the following items are attached to or are a part of the motor vehicle which is the subject of this action as described by the officer serving process:

(1)  ________________________________________________ (tires, type and model)

(2)  ________________________________________________ (radio equipment)

(3) ________________________________________________ (stero or tape equipment)

(4) ________________________________________________ (citizen’s band radio)

(5) ________________________________________________ (other special items added to vehicle after purchase)

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Defendant							Date

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Defendant							Date

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Officer Serving Process					Date