Va. R. Sup. Ct. Form 3

As amended through April 19, 2024
Form 3 - Bond for Costs Alone Required by Appellate Court on Appeal From Circuit Court

(Circuit Court case caption)

Plaintiff/Petitioner )
v.) No. _______________
Defendant/Respondent)

The Appellant(s), ________________ appealed from a judgment of this Court rendered on _______, 2___, and the (Supreme Court of Virginia) (Court of Appeals of Virginia), on _______, 2___, awarded an appeal from the judgment on the condition that Appellant(s), or someone on Appellant's/Appellants' behalf, file an appeal bond with sufficient security in the clerk's office of this Court in the penalty of ___ within fifteen (15) days of the date ofthe certificate of appeal, with condition as the law directs. Accordingly, we ____________, as principal and ____________, as surety, bind ourselves, our heirs, successors, personal representatives and assigns, jointly and severally, to Appellee(s), ______, in the sum of $__________ , to pay all damages, costs, and fees that may be awarded against (him) (her) (them) (it) in the (Court of Appeals and Supreme Court, if it takes cognizance of the claim) (Supreme Court).

Va. Sup. Ct. Form 3