File No. STATE OF NORTH CAROLINA In The General Court Of Justice District Court Division-Small Claims County Name And Address Of Plaintiff BOND TO STAY EXECUTION ON APPEAL OF JUDGMENT TO VERSUS RECOVER POSSESSION OF Name And Address Of Defendant PERSONAL PROPERTY G.S. 7A-227 BOND Judgment to recover possession of personal property has been entered by the magistrate against the defendant and in favor of the plaintiff. The defendant has appealed the case to district court. I, the undersigned surety, do acknowledge myself bound to the plaintiff in the amount specified below. The condition of this Bond is that if judgment is rendered against the appellant, I will pay all costs that may be awarded to the plaintiff and all damages that the plaintiff might sustain by the appellants failure to comply with the order, provided that my liability shall be limited to the amount of this Bond. Amount Of Bond Signature Of Surety $ Signature Of Additional Surety, If Used Name And Address Of Surety Name And Address Of Additional Surety, If Used JUSTIFICATION (OPTIONAL) I, the undersigned surety, being duly sworn, am a resident of the State of North Carolina and am worth the amount of the bond, over and above all liabilities and exemptions allowed by law. Date SWORN AND SUBSCRIBED TO BEFORE ME Date Signature Signature Of Surety Signature Of Additional Surety, If Used Deputy CSC Assistant CSC Clerk Of Superior Court ORDER It is ORDERED that execution on the judgment entered in this action is stayed until the action is disposed of on appeal in the district court. Date Signature Assistant CSC Clerk Of Superior Court AOC-CVM-906M, New 11/92 1998 Administrative Office of the Courts