IN THE COUNTY COURT OF POLK COUNTY, FLORIDA CIVIL DIVISION CASE NO. ________________________ Plaintiff, vs. Defendant. _____________________________________________/ CASH BOND KNOW ALL MEN BY THESE PRESENTS, that I, _____________________________________, have on deposit with the Clerk of the Circuit Court 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 we bind ourselves, our heirs, executors and administrators, jointly and severally, firmly by these present. THE CONDITION OF THE ABOVE is that _________________________________ has this date begun proceedings to recover personal property now in possession ________________________. DATED this _____ day of _____________________, 20_____. __________________________________ Plaintiff CERTIFICATE I hereby certify that the plaintiff named in the foregoing bond has deposited with the County Court of Polk County, Civil Division, the amount of money described herein; and that same has been taken before and approved by me this _____ day of ____________________, 20_____. RICHARD M. WEISS, CLERK Circuit and County Courts By______________________________ Deputy Clerk 133.doc (08/97 2000 © American LegalNet, Inc.