Form 1016 No. _______________________ Section _____________ ___________________________________________________________________ versus ___________________________________________________________________ KNOW BY ALL MEN BY THESE PRESENTS, That we __________________________________________________________________________as principal, ________________________________________________________________________________ and __________________________________________________________________________ as suret _____ are held and firmly bound unto _____________________________________________________________ executors , administrators and assigns in the sum of _____________________________________________ _______________________________________________________________________________ Dollars for the payment whereof we bind ourselves, our heirs, executors and administrators, firmly by these presents, dated in the City of New Orleans, on this _______________ day of ________________________ in the year of our Lord two thousand and _____________________________________________________ WHEREAS the above burden ________________________________________________________ _______________________________________________________________________________________ have this day filed ________________________________ of appeal from a final judgment rendered against ____________________________________________________________________________ in the suit of _______________________________________________________________________________________ _______________________________________________________________________________________ No. ________________________________________ of the FIRST CITY COURT of New Orleans, on the _________________ day of ___________________ 20 ____, and signed on the _____________________ day of ___________________ 20 ____. NOW THE CONDITION OF THE ABOVE OBLIGATION IS SUCH That the above bound _____________________________________________________________________ shall prosecute __________________________________________________________________________ __________ appeal, and shall satisfy whatever judgment rendered against ___________________________ or that same shall be satisfied by the proceeds of __________________________________________ estate, real or personal, if _______________ be cast in the appeal; otherwise that the said ____________________ _______________________________________________________________________________________ __________________________________________________ shall be liable in _________ place. Signed, Sealed and Delivered in the Presence of _______________________________________ ________________________________ (SEAL) _______________________________________ ________________________________ (SEAL) _______________________________________ >>>> 2 AFFIDAVIT OF SURETY __________________________________ being duly sworn, says that ___________________ is worth over and above all ______________ debts and obligations ___________________________________________ Dollars in assets that can be subjected to levy under execution, and that __________________ resides in the City of New Orleans. _______________________________________ Sworn to and subscribed before me this _____ _______________________________________ day of ____________________ 20______, A.D. _______________________________________ ___________________________________________ ============== AFFIDAVIT OF PRINCIPAL __________________________________ being duly sworn, says that _________________ is informed and believes that ____________________________________________________________________________ the surety on this bond, is worth over and above _____________ debts and obligations in assets that can be subjected to levy under execution, the amount for which ___________ has bound __________ in this bond. _______________________________________ Sworn to and subscribed before me this _____ _______________________________________ day of ____________________ 20______, A.D. _______________________________________ ___________________________________________ vs Dpeuty Clerk. ND OAL BAPPE COURTYTFIRST CIs Orlean of New e Cityr thFo Filed ________________, 20____ ____________________________ No. ___________________________