Form 1016 - Appeal Bond Page 2

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AFFIDAVIT OF SURETY
__________________________________ being duly sworn, says that ___________________ is worth over
and above all ______________ debts and obligations ___________________________________________
Dollars in assets that can be subjected to levy under execution, and that __________________ resides in the
City of New Orleans.
_______________________________________
Sworn to and subscribed before me this _____
_______________________________________
day of ____________________ 20______, A.D.
_______________________________________
___________________________________________
==============
AFFIDAVIT OF PRINCIPAL
__________________________________ being duly sworn, says that _________________ is informed and
believes that ____________________________________________________________________________
the surety on this bond, is worth over and above _____________ debts and obligations in assets that can be
subjected to levy under execution, the amount for which ___________ has bound __________ in this bond.
_______________________________________
Sworn to and subscribed before me this _____
_______________________________________
day of ____________________ 20______, A.D.
_______________________________________
___________________________________________

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