Va. R. Sup. Ct. Form 4
(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___, suspended execution of the judgment on the condition that ___________, or someone on (his) (her) (their) (its) behalf, file an appeal bond with sufficient security in the clerk's office ofthis Circuit Court, in the penalty of $___, within fifteen (15) days of the date of the 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 perform and satisfy the judgment or such portion ofthe judgment as may be affirmed in whole or in part, and to pay all actual damages incurred in consequence of the suspension.
Va. Sup. Ct. Form 4