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. Cause 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 __________________, ________. APPROVED: ___________________________________ or _________________________________________ CLERK OF THE TRIAL COURT CLERK OF THE APPELLATE COURT American LegalNet, Inc. www.USCourtForms.com