2021 Tennessee Code
Chapter 2 - County Workhouses
§ 41-2-126. Contract to Bail Out Prisoner — Surrender of Prisoner by Bailee — Action Against Delinquent Bailee

State of Tennessee,
County of  .
I,  , principal, and  , sureties, do hereby agree to pay the State of Tennessee, for the use of  county, the sum of  dollars, in monthly installments of  dollars, to be paid on the  day of each month, until the whole is paid, this being the amount for which  is confined in the  county workhouse.  agrees to be bailed out of the workhouse by above parties, and agrees to work out or pay the amount above specified as therein stated, at the office of the county mayor. Should  fail to do so, then  is liable to be arrested and delivered to the superintendent of the workhouse, to work out any balance unpaid and the costs of the arrest. In case of default and arrest, the bailee is only liable for the amount falling due prior to the arrest.
This  day of  , 20 .