IN THE COURT OF GENERAL SESSIONS SHELBY COUNTY, TENNESSEE _______________________________________ Plaintiff(s) vs. _______________________________________ Defendant(s) Docket No. ________________________ PAUPER'S OATH IN LIEU OF APPEAL BOND I, __________________________________________________________________________________ do solemnly swear that I am a resident of the State of Tennessee, and that owing to my poverty I am not able to bear the expense of an appeal from the judgment of the Court in the above styled case, which has this day been taken and granted, and that I am justly entitled to the relief sought, to the best of my belief. ___________________________________________ Sworn to and subscribed before me, this ________ day of _________________________, year _____. ____________________________________________ Deputy Clerk American LegalNet, Inc. www.USCourtForms.com ___________________________________________ Attorney for Plaintiff ____________________________________________ Attorney's Address ___________________________________________ ___________________________________________ Attorney for Defendant ___________________________________________ Attorney's Address ___________________________________________ ___________________________________________ Plaintiff(s) ___________________________________________ Home Address ___________________________________________ ___________________________________________ Place of Employment _________________________ Home Phone _________________________ Work Phone ___________________________________________ Defendant(s) ___________________________________________ Home Address ___________________________________________ ___________________________________________ Place of Employment ________ _________________________ Home Phone _________________________ Work Phone American LegalNet, Inc. www.USCourtForms.com