Affidavit In Lieu Of Bond

Name of Person Filing: Street Address: City, State, Zip Code: Telephone Number: Email Address: ATLAS Number (if applicable) Representing Self (No Attorney) If Attorney, Bar Number: or Represented by Attorney SUPERIOR COURT OF ARIZONA PINAL COUNTY CASE NUMBER: Name of Petitioner / Plaintiff vs. AFFIDAVIT IN LIEU OF BOND Name of Respondent / Defendant HONORABLE: I , being first duly sworn, upon oath depose and say that: 1. The Party is the Plaintiff Petitioner Defendant Respondent in the above entitled action and Judgment Portion of the Judgment Denial of Motion for New desires to take an appeal from the Other Orders entered by the Court. Trial or 2. The Party is unable to give a bond for costs on appeal for the following reasons: Plaintiff Petitioner Defendant WHEREFORE, prosecute an appeal in this action without bond for costs. Dated: Signature: Name: Address: State Bar No: Attorneys For: Respondent requests that the party be allowed to Page 1 of 2 OTHER_ALB_COSCPinal_09.30.13 Use only most current version American LegalNet, Inc. www.FormsWorkFlow.com , being first duly sworn, says: That I have read the foregoing Affidavit in Lieu of Bond and know the contents thereof; that the matters and things therein set forth are true to the best of my own knowledge and belief. Date Signature State of Arizona County of (Arizona County) ) ) ) Subscribed and sworn (or affirmed) before me this (Day) day (Month) , 20 (Year) by (Name of Signer) Seal (Affix notary seal here) Notary Public (Notary's Signature) Copy of the foregoing this To: day of Mailed Delivered , 20 , By . Page 2 of 2 OTHER_ALB_COSCPinal_09.30.13 Use only most current version American LegalNet, Inc. www.FormsWorkFlow.com