“We, ____, principal, and ____ and ____, sureties, bind ourselves to pay ____ the sum of ____ dollars, unless the said principal obligor herein shall pay to the said ____ all such damages as he shall sustain by reason of the wrongful suing out of an attachment for rent and supplies [if for rent only, strike out the words ‘and supplies;’ and if for supplies only, strike out the words ‘rent and’] in favor of said principal obligor against the said obligee for ____ dollars, for rent and supplies [if for rent only, strike out the words ‘and supplies;’ and if for supplies only, strike out the words ‘rent and’] due and in arrears [or if the attachment be for a debt to become due, strike out the words ‘due and in arrears,’ and insert ‘to become due on the ____ day of ____, A.D. ____’] upon certain leased premises, in ____ County.
“Witness our hands, this the ____ day of ____, A.D. ____
“____,
____”
“The above bond is approved by me, this ____ day of ____, A.D. ____.
“____, J.P.”