Cash Deposit On Appeal

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IN THE SUPERIOR COURT FOR THE STATE OF ALASKA AT _____________________
)
)
)
Appellant (person bringing appeal)
)
)
vs.
)
)
)
)
APPEAL CASE NO.
CI
Appellee
)
)
CASH DEPOSIT ON APPEAL
I am depositing cash in lieu of a bond as described below. I understand that if the appeal is
dismissed or if the judgment/decision is affirmed or modified, the court may order that part or all
of this cash deposit be paid to the appellee to cover appeal costs, and if the cash deposit is in lieu
of a supersedeas bond the court may also order that it be paid to the appellee to pay the
judgment, post-judgment costs and interest. If the court reverses the judgment/decision, the
money I am depositing will be returned to me without interest.
Cash deposit in the amount of $_________ in lieu of a Cost Bond. I understand that this
deposit will not result in a stay of execution of the judgment.
Cash deposit in the amount of $_________ in lieu of a Supersedeas Bond. I understand
that this deposit will stay execution of the judgment.
I am the owner of the cash deposited. I submit myself to the jurisdiction of the court and
irrevocably appoint the clerk of court as my agent upon whom any papers affecting this deposit
may be served. I agree that it is not necessary for an independent action to be filed in order for
this deposit to be used as described above.
Date
Signature of Owner of Cash
Type or Print Name
Telephone No.
Mailing Address
City
State
Zip
ACKNOWLEDGMENT
The foregoing instrument was acknowledged before me this date, __________________, 20___,
by ___________________________, who personally appeared before me and acknowledged that
he/she executed the instrument for the purposes stated in it.
(SEAL)
Clerk of Court/Notary Public
My commission expires:
I certify that on
a copy of this form was
mailed
personally delivered
Amt. Deposited $________
Date ___________
to (list names):
Receipt No. ____________
Clerk ___________
By:
AP-110 (1/05)(cs)
App. R. 204(c), 602(g)
CASH DEPOSIT ON APPEAL
Civil Rule 80(f) & (g)

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