PIMA COUNTY CONSOLIDATED JUSTICE COURT PLAINTIFF 115 N. CHURCH AVE., TUCSON, AZ 85701-1130 CASE NO.________________ DEFENDANT NOTICE OF FORCIBLE/ SPECIAL DETAINER APPEAL (Name/Address/Telephone) (Name/Address/Telephone) INDICATE BY YOUR INITIALS IN EACH BOX BELOW, THAT YOU READ AND UNDERSTAND EACH STATEMENT, INDICATE BY N/A IF THAT PARTICULAR STATEMENT DOES NOT APPLY IN YOUR CASE: □ □ □ □ □ My appeal is timely because this Notice of Forcible Detainer Appeal was filed within 5 days of the date the judgment was rendered, given to me in Court, and/or mailed to me by the Court. I'm filing an Affidavit of inability to post bond. I understand that the opposing party can file objections and that a hearing may be held. I'm filing a Cost Bond which has been set by the court in the amount of *$_____________ payable to the Clerk of the Justice Court (A.R.S. §12-1179b). I understand that this does not stay the Writ of Restitution and/or the execution of the money judgment. I'm filing a Supersedeas Bond for possession in the amount of *$____________ payable to the Clerk of Justice Court, which is the amount of the rent accruing from the date of judgment until the next periodic rental date with costs and attorney fees, if any. This stays the Writ of Restitution (A.R.S. §12-1179d). I understand that I must make my next monthly rent payment in the amount of *$____________ and any following monthly rent payable and deposited on or before it's due date with the Clerk of the Justice Court, until final resolution of this case (A.R.S. §12-1179b). □ I understand that if rent is now due it will be attached to this form. □ I am submitting the money for the *$11.50 One-time handling fee made payable to Clerk of the Justice Court (A.R.S. §12-1179d). □ □ □ □ I'm filing a Supersedeas Bond for money damages in the amount of *$___________ payable to the Clerk of Justice Court, which is the amount of the judgment, costs and attorney fees, if any (A.R.S. §12-1179f). This stays the execution of the money judgment. I understand that I must pay for an audio copy of the proceedings. I further understand that I must pay the required filing fee in Superior Court once I receive the notice from them unless my fees have been waived. If the Supersedeas Bond is not deposited, I understand that I must vacate the premises and a writ of restitution can be issued against me. *CASHIER’S CHECKS OR ATTORNEY TRUST CHECKS PAYABLE TO THE CLERK OF JUSTICE COURT. DATE APPELLANT CERTIFICATE OF MAILING COPY MAILED TO APPELLEE THIS DATE JP115 (Rev. 08/05) BY: Original - Court; Canary - Plaintiff; Pink - Defendant American LegalNet, Inc. www.USCourtForms.com