Cost Bond

STATE OF TENNESSEE CASE FILE NUMBER TH COST BOND 20 JUDICIAL DISTRICT CHANCERY COURT *For court costs PLAINTIFF(S) DEFENDANT(S) BOND 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 costs awarded against the principal. To that end, we bind ourselves, our heirs, executors, and administrators. The Principal(s) is/are commencing legal proceedings in the Chancery Court for the Twentieth Judicial District, at Nashville, Tennessee. If the Principal(s) shall pay all costs which are adjudged against them then this obligation is void. If the Principal(s) fail to pay then the surety shall undertake to pay all 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 # _____________________________ SOCIAL SECURITY # _______________________________ ________________________________________________ ___________________________________________________ ________________________________________________ ___________________________________________________ ADDRESS ADDRESS ________________________________________________ ___________________________________________________ EMPLOYER EMPLOYER ________________________________________________ ___________________________________________________ ________________________________________________ ___________________________________________________ EMPLOYERS ADDRESS EMPLOYERS ADDRESS SURETY _______________________________________________ _____________________________________________ SURETY _______________________________________________ _____________________________________________ SIGNATURE ADDRESS 2003 Cost Bond