APPEAL BOND FOR COSTS I (we), ___________________________________________________________________, principal(s)/Appellant(s), and I (we), _____________________________________________, the surety(ies)/Attorney, bind myself/ourselves for the costs of appeal in: ____________________________________________________________________________ vs. Docket No. _______________________ _________________________________________________________________ _____________________________________, or PRINCIPAL/APPELLANT (Signature) _____________________________________ by __________________________________________ PRINCIPAL (Print) ATTORNEY (Signature) PRINCIPAL’S ADDRESS: ______________________________________________________________________ ______________________________________________________________________ PRINCIPAL(S) SOCIAL SECURITY NO.: _____________________________ (street address only; NO P.O. boxes; NO in care of principal’s attorney) (Social Security Numbers required for individual principal(s) per Tenn. Code Ann. § 25-1-108) ••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• _______________________________ by __________________________________SURETY (Print) (Signature) SURETY’S ADDRESS: ____________________________________________________________ _________________________________________________________________________________ (street address only: NO P. O. boxes) IF THE PRINCIPAL(S) PAY ALL COSTS OF APPEAL, THEN THIS OBLIGATION IS VOID. IF PRINCIPAL(S) FAIL(S) TO PAY, THEN THE SURETY IS OBLIGATED TO PAY ALL COSTS OF APPEAL. IF YOU DO NOT HAVE A SURETY TO SIGN YOUR BOND FOR COSTS: A cash deposit of $1,000.00 is deemed sufficient instead of a surety bond, except as otherwise required by the trial court clerk and/or the Appellate Court Clerk. A deposit of $__________ in cash has been made by ______________________________________ with ________________________________ of the ___________________________________ court clerk’s office on the __________ day of _________________________, 200___. APPROVED: ________________________________________ or ___________________________________ CLERK OF THE TRIAL COURT CLERK OF THE APPELLATE COURT American LegalNet, Inc. www.USCourtForms.com