STATE OF TENNESSEE 20TH JUDICIAL DISTRICT CHANCERY COURT PLAINTIFF(S) COST BOND CASE FILE NUMBER *For court costs DEFENDANT(S) I/We, ___________________________________________________________________ as Principal(s) and ________________________________________________, as Surety, are held and firmly bound unto the Chancery Court Clerk and Master of Davidson County, Tennessee, for the payment of court costs taxed to the principal. The Principal(s) is/are commencing legal proceedings in the Chancery Court for the Twentieth Judicial District, at Nashville, Tennessee. If the Principal(s) pay all costs which are adjudged against them then this obligation is void. If the Principal(s) fail to pay, the surety shall pay all court costs adjudged against the Principal(s). Mandated at T.C.A. §20-12-120 et seq. *Court costs do not include discretionary costs. PRINCIPAL(S) ________________________________________________ PRINCIPAL ___________________________________________________ PRINCIPAL SOCIAL SECURITY # _____________________________ Required for individual principal (s). T.C.A. 25-1-108. ________________________________________________ SOCIAL SECURITY # _______________________________ ________________________________________________ ADDRESS ________________________________________________ EMPLOYER ________________________________________________ ___________________________________________________ ADDRESS ___________________________________________________ EMPLOYER ___________________________________________________ ________________________________________________ EMPLOYER'S ADDRESS ___________________________________________________ EMPLOYER'S ADDRESS ___________________________________________________ SURETY _______________________________________________ SURETY _______________________________________________ SIGNATURE _____________________________________________ _____________________________________________ ADDRESS 2003/2004 Cost Bond American LegalNet, Inc. www.USCourtForms.com