Name of Person Filing Document: Your Mailing Address: Your Telephone Number: Attorney Bar Number (if applicable): Representing Self (Without Attorney) OR Attorney
Petitioner
Respondent
IN THE SUPERIOR COURT OF ARIZONA
PINAL COUNTY
)
)
)
Name of Petitioner / Plaintiff
vs.
) )
)
Case No. Honorable Division AFFIDAVIT IN LIEU OF BOND
) )
)
Name of Defendant / Respondent
) ) )
STATE OF ARIZONA
) ) ss. County of _____________ ) I, _______________________, being first duly sworn, upon oath deposes and says that: 1. He is the ( )plaintiff ( )petitioner ( )defendant ( )respondent in the above entitled action and desires to take an appeal from the ( )judgment ( )portion of the judgment ( )denial of motion for new trial or ( )other orders entered by the Court. 2. He is unable to give a bond for costs on appeal for the following reasons: _________________________________________________________________ WHEREFORE, ( )plaintiff ( )petitioner ( )defendant ( )respondent requests that he be allowed to prosecute an appeal in this action without bond for costs. Dated: ______________ Signature:_________________________________ Name:_____________________________________ Address:___________________________________ ___________________________________________ State Bar No. _______________________________ Attorneys for _______________________________
© Superior Court of Arizona Pinal County September 29, 2006 ALL RIGHTS RSERVED
1
Affidavit in Lieu of Bond Use only most current version
STATE OF ARIZONA County of Pinal
) ) ss. )
___________________________________________, 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
Petitioner
SUBSCRIBED AND SWORN to before me this ______ day of _______________, 20____.
My Commissions Notary Public
Copy of the foregoing ( )mailed ( )delivered this _____ day of ___________, 20_____, to:
By __________________________
© Superior Court of Arizona Pinal County September 29, 2006 ALL RIGHTS RSERVED
2
Affidavit in Lieu of Bond Use only most current version