BOND TO RELEASE POSSESSORY LIEN that I, KNOW ALL MEN BY THESE PRESENTS, _____________________________________, have on deposit with the Clerk of the Circuit and County Courts of Polk County, Florida the principal sum of _________________________________________________ ($__________________), lawful money of the United States of America, and am held and firmly bound unto ______________________________ ___________________________________ in the full amount of said money for the payment whereof well and truly be made, I bind myself, my heirs, executors and administrators, jointly and severally, firmly by these presents. THE CONDITION OF THE ABOVE OBLIGATION IS THAT THE obligee, lienor, _____________ ____________________________________, recover a judgment on a suit filed within sixty (60) days of the posting of this Bond upon the lien on the ______________________________________ presently located on the property of the lienor and owned by the obligor, __________________________________ _______________________________________. DATED this _____ day of ________________________, 20____. ______________________________________ Obligor ______________________________________ Address ______________________________________ Phone I hereby certify that the Obligor named in the foregoing bond has deposited with the Clerk of the Circuit and County Courts of Polk County, Florida the amount of money described above. RICHARD M. WEISS, Clerk Circuit and County Courts (SEAL) By____________________________________ Deputy Clerk 179.doc (08/97) 2000 © American LegalNet, Inc.