Missouri Revised Statutes Title XXXV. Civil Procedure and Limitations § 512.200. Form of recognizance

Such recognizance must be signed by the parties entering into the same, and be approved by the associate circuit judge, and may be in the following form:

We the undersigned, ․․․․․․․․․․ and ․․․․․․․․․․, acknowledge ourselves indebted to ․․․․․․․․․․ in the sum of ․․․․․․․․․․ dollars, to be void upon this condition. Whereas, ․․․․․․․․․․ has made application for a trial de novo from a judgment of ․․․․․․․․, an associate circuit judge, in an action between ․․․․․․․․․․, plaintiff, and ․․․․․․․․․․, defendant; now, if on such trial de novo judgment be given against the applicant, and he shall satisfy such judgment, or if his application shall be dismissed, and he shall pay the judgment of the associate circuit judge, together with the cost of the appeal, this recognizance shall be void.