CAUSE NO. ______________________
 
______________________________
______________________________
______________________________
                                                    Plaintiff(s),

vs

______________________________
______________________________
______________________________
                                                    Defendant(s)

          











           IN PROBATE COURT

 
NUMBER____________OF

 
__________________COUNTY, TEXAS

 
COST BOND
BOND # ______________________

 
STATE OF TEXAS

COUNTY OF __________________

          


            
 
 
    This Cost Bond is filed pursuant to Section 13.01(a)(1), Article 45901 by ________________________________
________________________________, Plaintiff(s) herein, who having filed a health care liability claim against ________________________________ in the above entitled and numbered suit, and desires to prosecute this cause to effect: therefore,

    We, the undersigned Plaintiff(s), ___________________________________________________, as Principal, ________________________________, of _____________________________, _________________, whose address is, ________________________________________________, Surety & Attorney for Plaintiff(s), and ________________________________, of ______________________________, ________________, whose address is _______________________________________________, as Surety for Plaintiff(s), acknowledge we are bound to pay to ________________________________ up to the amount of ______________________, conditioned that Plaintiff(s) will prosecute this cause to effect and that Plaintiff(s) will pay to the extent of the penal amount of this bond all damages and costs as may be adjudged against Plaintiff(s), ______________________________________________ for wrongfully suing out such health care liability claim against Defendant(s), ____________________________________________. Each surety owns non-exempt property in the State of ___________________ of a value of at least $_________________.

    WITNESS our hand on this the _________ day of _________________, ____________.

___________________________________________
___________________________________________
___________________________________________
Surety/Attorney

By ________________________________________

___________________________________________
___________________________________________
___________________________________________
Surety