Supersedeas Bond

WE and bind ourselves to in the penal sum of To be void on condition that the said DOLLARS surety(ies) shall prosecute, with effect, writs of Certiorari and Supersedeas granted to the next term of the Circuit Court of Shelby County, Division from a judgment for Dollars and cents and costs of suit rendered against by Justice of the Peace in and for said County, on the day of , 20 in favor of the said WITNESS our hands and seal, the day of , 20 (SEAL) (SEAL) (SEAL) (SEAL) __O__ security on the above Bond, being duly sworn, says that he owns in his own name and right, above all debt and encumbrances, the following real estate, to-wit: and personal property, to-wit: and that the said property is situated within Shelby County and State of Tennessee, and is subject to execution. Sworn to and subscribed before me, this day of , 20 Clerk D. C. Front American LegalNet, Inc. www.USCourtForms.com Docket No. CIRCUIT COURT Division vs. SUPERSEDEAS BOND Filed day of , 20 Clerk By D.C. Back American LegalNet, Inc. www.USCourtForms.com