To _______________ {party}, and _______________, his attorney: Comes now the defendant {or plaintiff} and does hereby appeal from the judgment entered in the justice court on the _____ day of __________, 20___, to the district court in and for the above-named county and state. The basis for the appeal is: _________________________________________ _________________________________________________________________ I acknowledge that I am required to post an appeal bond and to pay all filing fees and costs of appeal, including the expense of a transcript of the trial before this appeal will be filed with and considered by the district court. I further acknowledge that if the appeal is dismissed or the judgment is affirmed, I will be subject to reimbursing the other party for court costs, and attorney’s fees, not to exceed $15, together with any reasonable expenses as determined by the district court. Dated: This _____ day of __________, 20___. Defendant {or Plaintiff}—Appellant [As amended; effective July 1, 2005.] RULE 100. APPEAL BOND—SMALL CLAIMS (a) Bond on Appeal—General. The notice of appeal mentioned in Rule 99 shall be accompanied by an appeal bond. The appeal bond may be in the form of a cash bond, a formal surety bond or an informal surety bond substantially in the form set out in this rule. After an appeal bond is filed, the other party may raise, for determination by the justice, objections to the form of the bond or to sufficiency of the surety. The filing of a bond on appeal stays execution on the judgment until the appeal is determined. (b) Bond on Appeal—Defendant—Form: IN THE JUSTICE COURT, ______________ TOWNSHIP COUNTY OF _______________, STATE OF NEVADA ________________________________ ,_ Defendant- Appellant, v. APPEAL BOND—DEFENDANT (Informal Surety Bond) ________________________________ ,__ Plaintiff- Respondent. Whereas, the above-entitled court in the above-entitled action did on the _______ day of __________, 20___, enter judgment in favor of the plaintiff and against the defendant in the sum of $__________, plus costs in the amount of $__________; and Whereas, the defendant intends to appeal to the district court of the State of Nevada, in and for the above-named county; Now, therefore, the undersigned does undertake and promise that in the event the judgment is affirmed, or the appeal dismissed, then and in that event, the undersigned will pay the judgment, together with interest and attorney’s fees not to exceed $15, together with costs and any other amount ordered by the district court to be paid, immediately upon demand by the plaintiff. Dated: This _____ day of __________, 20___. Surety (Not Party) STATE OF NEVADA } }ss. COUNTY OF______________________ } ____________________, the surety named in the above bond, being duly sworn, says: That he is a property owner and resident within the State of Nevada, and has assets worth the sums hereinabove mentioned, in excess of all of his debts and liabilities, exclusive of property exempt from execution, as shown on the attached sworn financial statement; and that he has read all of the foregoing and states that everything therein is true and correct. Surety Subscribed and sworn to before me this _____ day of __________, 20___. ___________________________________

Vegas Law