Tennessee Cost Bond Form July 2007
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1I
T
C
C
D
C
T
N
HE
IRCUIT
OURT OF
AVIDSON
OUNTY,
ENNESSEE
T
J
D
S
T
WENTIETH
UDICIAL
ISTRICT,
TATE OF
ENNESSEE
}
Plaintiff(s)
}
}
vs.
}
Docket No.
}
}
Defendant(s)
}
COST BOND
I/We,
as Principal(s), and
as Surety, are held and firmly bound unto the Circuit Court Clerk of Davidson County, Tennessee, for the payment of all
costs
The Principal(s) is/are commencing legal proceedings in the Circuit 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
Mandated at
Principal(s) fail(s) to pay, then the Surety shall undertake to pay all costs adjudged against the Principal(s).
T.C.A. §20-12-120, et seq.
PRINCIPAL(S):
PRINCIPAL
PRINCIPAL
Address
Address
Employer
Employer
Employer's Address
Employer's Address
Principal
(signature), or
Principal
(signature), or
by
by
Principal
Principal
Attorney (signature)
Attorney (signature)
SURETY
(Print or Type Surety)
BPR #
SIGNATURE OF SURETY
ADDRESS
[Rev. 7-1-07]
Print Form
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