IN THE UNITED STATES DISTRICT COURT FOR THE DISTRICT OF COLORADO Civil Action No. , Appell , v. , Appell . APPEAL BOND [Counsel or a pro se party shall modify this form as necessary and complete and file it as a bond instrument in circumstances involving a cash bond, paid through cash, check or letter of credit.] The appellant(s), as principal(s), are held and firmly bound to the appellee(s)in the sum of $ , to be paid to appellee(s) (his heirs, executors, administrators, or assigns or its successors or assigns), from the proceeds of: cash in the amount of , check in the amount of , letter of credit for the amount of ] , tendered to the United States District Court on the day of , 20 , or deposited herewith, for which payment well and truly made appellant(s) bind themselves, their heirs, executors, administrators, or assigns, jointly and severally, by this instrument. Whereas, on the day of , 20 , in an action pending in the above court, between the plaintiff(s) and the defendant(s), judgment was rendered against , and the appellant(s) having filed a Notice of Appeal from such judgment to the United States Court of Appeals for the Tenth Circuit and having applied for and obtained an order of the District Court staying enforcement of such judgment during the pendency of the appeal. Now, therefore, the condition of this obligation is that if the appellant (s) shall prosecute his(their) appeal to effect and shall satisfy the judgment in full, together with costs, interest, and damages for delay if the appeal is finally dismissed or the judgment is affirmed or shall satisfy in full such judgment as modified together with such costs, interests, and damages as the Court of Appeals may adjudge and award, this obligation shall be void; otherwise it shall remain in full service and effect. Dated this day of , 20 . APPROVED: by: or Signature United States District Judge Print Appellant or Attorney Name American LegalNet, Inc. www.FormsWorkFlow.com