Supersedeas Bond - Fayette County Superior Court Page 2

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GEORGIA, FAYETTE COUNTY
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FAYETTE COUNTY SUPERIOR COURT
BOND AFFIDAVIT
In person before the undersigned duly authorized officer, appeared _____________________________, (Surety)
on the bond of _______________________________, (Principal), who being duly sworn deposes and says that he is
worth the amount of said bond: _______________________________________ Dollars, in unincumbered real estate, in
his own right and name, over and above the sum of Two Thousand Dollars, which may be claimed as exempt under the
homestead and exemption laws of Georgia; and ________________________ situated in the County of _____________,
State of Georgia, to wit: _____________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
Being that certain tract of land described in deed from ________________________________________ to
__________________________________________ and recorded in deed book _________ at page _____________,
__________________County Records. A copy of said deed is attached hereto and made a part hereof.
The fair market value ____________________________
Less encumbrances ____________________________
Equitable Interest
____________________________.
Deponent further states he is on outstanding criminal bonds in the approximate sum of ____________________
dollars, to any and all other Courts, all told; and that he has judgment recorded against his property; pending or involved
in illegality proceedings, in the amount of ___________________________________ dollars.
Deponent’s mailing address is:
______________________________________________________
______________________________________________________
Home telephone: ________________________________________
Business telephone: ______________________________________
___________________________________________
Deponent’s Signature
Sworn to and subscribed before me
this ______ day of __________, 20___
Fayette County Clerk's Office -
Updated Sept 2010
_______________________________
Notary Public or Clerk of Court

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