We, _______________, Principal, and 	 , and 	, Sureties, agree to bind ourselves and pay the State of Tennessee ________________________ , unless the Principal appears before the General Sessions Court of ____________ County, Tennessee at  ____________________, on _______________________, and from day to day until the case is finally disposed of, to answer for the offense(s) of  ______________________________________________________ and does not depart the Court without leave, and, if an appeal is perfected from the General Sessions Court, the aforesaid Principal and Sureties agree to bind ourselves and pay the State of Tennessee the above stated sum unless the Principal appears as directed by said Court, until final disposition of the case and does not depart the court without leave.  Notwithstanding the provisions of TCA 40-11-138(b), the parties agree that final disposition as used herein shall mean final judgment and/or final sentencing in the criminal court and, when applicable, final judgment of the appellate court; provided, however, the sureties may be relieved of further obligation on this bond before final disposition as used herein by delivering the body of said principal to the Sheriff and notifying the court and said principal thereof in writing or orally in open court with consent of the court.

Date: ________________________ 

Principal:	
Address:	
Telephone:	

Officer Approval:	

Surety:	
Address:	
Telephone:	

Surety:	
Address: 	
Telephone:	

I/We do solemnly swear that I/we am/are the owner(s) of the following property in ____________ County, Tennessee:

	
and that said property is vested in me/us and is worth $_____________, and is unencumbered with the exception of 

	

Surety:	

Surety:	

Surety:	

Sworn to and subscribed before me on  _______________

Clerk/Deputy Clerk