APPEAL BOND (Small Claims Court) IN THE COUNTY COURT OF COUNTY, NEBRASKA Plaintiff vs. APPEAL BOND Defendant I, the laintiff efendant in the above-entitled action am dissatisfied with the final judgment of the ourt andintend to appeal the case to the istrict ourt. The judgment was entered on, in favor of the laintiff efendant, forthe sum of $, (without interest) (with interest at the legal rate), and costs taxed at $. I, the appellant, do hereby undertake to the ppellee in the penal sum of $50.00, that I will satisfy any judgment, andcosts, upon final adjudication of this case in the istrict ourt.THE ABOVE APPEAL BOND IS SECURED AS FOLLOWS CASH: In lieu of surety or sureties, the defendant deposits cash bond to secure recognizance and conditions madetherein in the sum of $ . CORPORATE SURETY: Attached ereto. SURETY: The undersigned (surety)(sureties) do hereby acknowledge themselves to be bound as Date Signature Name (Appellant) Street Address/P.O. Box Bar Number and Firm Name (attorneys only) City/State/ZIP Code Phone E-mail Address DATE: Taken and acknowledged before me and sureties, if any, approved. DATE: BY THE COURT: (JUSTIFICATION OF SURETIES ON REVERSE) American LegalNet, Inc. www.FormsWorkFlow.com Justification of Sureties ( 25-2223)IN THE COUNTY COURT OF COUNTY, NEBRASKA Plaintiff vs. Defendant and surety, or sureties, on this appeal recognizance after being first duly sworn, deposes and says that I am a resident of the State of Nebraska and have real estate property situated in this county and state, TO WIT: (Legal Description) commonly known as (address) worth at least double the amount of this bond, beyond the amount of all liens and encumbrances thereon in addition to any exemptions allowed by law. DATE: SURETY: DATE: SURETY: Subscribed in my presence and sworn to before me this date. DATE: BY THE COURT: (Seal) CASE NUMBER American LegalNet, Inc. www.FormsWorkFlow.com