IN THE GENERAL SESSIONS COURT FOR KNOX COUNTY, TENNESSEE CIVIL DIVISION Plaintiff(s) vs. Docket No.: Defendant(s) NOTICE OF APPEAL The Appellant, being the Plaintiff/Defendant in the above captioned case does hereby give notice that I desire to appeal the decision rendered in this General Sessions case on . I understand that this case will be placed on the docket of the Circuit Court for and that if I desire counsel to represent me, I will have said counsel with me at the above stated time and be ready for trial. I understand that by appealing this case, additional costs will incur and that I will need to be in a position to pay said costs on the date of my hearing in Circuit Court. I demand a jury to try this case: Yes Appellant Signature: No Date: Appellant Address: Phone: File Date: CHARLES D. SUSANO III Clerk Deputy Clerk 226 General Sessions Court NOTICE TO APPELLANT Tennessee Code Annotated 24727-5-108 allows you to appeal the judgment of the General Sessions Court by the filing of a Notice of Appeal within ten (10) days of entry of the judgment. The ten day period begins the day following the entry of judgment. The Notice of Appeal must be filed by the close of business on the tenth day. (e.g. where entry of judgment occurs on the 1st day of the month, Notice of Appeal must be filed by the close of business on the 11th day of the month.) If the last day of the 10 day period falls on a Saturday, Sunday or legal holiday, the Notice of Appeal must be filed by the close of business on the next business day. American LegalNet, Inc. www.FormsWorkFlow.com IN THE GENERAL SESSIONS COURT FOR KNOX COUNTY, TENNESSEE CIVIL DIVISION PLAINTIFF(S) VS. DOCKET NO. DEFENDANT(S) APPEAL BOND FOR COSTS ($500.00) I/We, As Principal(s), and As Surety, are held and firmly bound onto the Circuit Court Clerk of Knox County, Tennessee for payment of all costs awarded against the Principal(s). To that end, we bind ourselves, our heirs, executors and administrators. If the Principal(s) shall pay all costs which are adjudged against them, then this obligation is void. If the Principal(s) fail(s) to pay, then the Surety shall undertake to pay all costs adjudged against the Principal(s). Mandated at T.C.A. 27-5-103. PRINCIPAL(S) Principal Principal Address Address Principal (signature), or by Principal (signature), or by Principal Principal Attorney signature Attorney signature SURETY BOND Print or Type Surety Signature of Surety & BPR # Revised 11-15-11 American LegalNet, Inc. www.FormsWorkFlow.com