Small Claim Or Debt Claim Appeal - Cash Deposit Form

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SMALL CLAIM OR DEBT CLAIM APPEAL – CASH DEPOSIT
CASE NO. _____________________________
(COURT USE ONLY)
___________________________________
IN THE JUSTICE COURT
___________________________________
___________________________________
Plaintiff(s)
VS.
PRECINCT _____________
______________________________________
______________________________________
______________________________________
LIBERTY COUNTY, TEXAS
Defendant(s)
THE STATE OF TEXAS
COUNTY OF LIBERTY
APPEAL BY DEFENDANT
To appeal the Judgment, _________________________________________, Appellant, deposits cash in lieu of a bond
in double the amount of the Judgment, calculated as $____________, payable to _____________________________,
Appellee. Appellant agrees that this deposit is conditioned on the prosecution of the appeal to effect and the payment
of any judgment rendered against Defendant-Appellant on appeal, together with the payment of any costs for which
appellant may be liable.
APPEAL BY PLAINTIFF
To appeal the Judgment, _________________________________________. Appellant, deposits cash in lieu of a bond
in the amount of $500.00, payable to ___________________________________, Appellee. Appellant agrees that this
deposit is conditioned on the prosecution of the appeal to effect and the payment of any judgment rendered against
Plaintiff-Appellant on appeal, together with the payment of any costs for which appellant may be liable.
Notice of the filing of this Bond will be given to all parties to the suit within seven (7) days following the filing of
the Bond.
____________________________________________
_________________________________________
Appellant – Signature
Date
____________________________________________
_________________________________________
Telephone
Printed Name
____________________________________________
_________________________________________
Date of Birth
Address
____________________________________________
_________________________________________
Texas Driver’s License
City/State/Zip
____________________________________________
Email Address
ACKNOWLEDGMENT
This instrument was acknowledged before me this the _________ day of _______________________, 20______.
______________________________________________________________
Notary Public in and for the State of Texas
EXAMINED AND APPROVED this ___________ day of ___________________________, 20______.
______________________________________________________________
JUSTICE OF THE PEACE, PCT. _____, LIBERTY COUNTY, TEXAS

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