In the Magistrate's Court for the District/Region of .......................................................

held at ............................................... Case No. ........................................ of 20.........

In the matter between

..................................................................................................................... Applicant

and

................................................................................................................. Respondent

Whereas ............................. (landlord) has applied for the issue of an order to attach the movable property upon ............................................. (describe the leased premises) for the sum of R................. for rent due by ................................... of ...................................... (name tenant) and R................ for costs;

Now, therefore, the said ......................... and ........................ of ......................... (name the surety) as surety and co-principal debtor for the said ............................ hereby bind themselves jointly and severally that the said ............................. and ............................. or either of them shall pay to the said ............................... or whom else it may concern all damages, costs and charges which he or she or they may sustain by reason of the attachment of the said movable property in case the said attachment is set aside.

Signed and dated at ............................. this ............................... day of ............................., 20.... in the presence of the undersigned witnesses.

..................................................................

Landlord.

Witnesses:

Signature and address

.........................................................................

Surety and Co-principal Debtor

2.        .........................................................................

Signature and address

........................................................................