Tennessee Code Title 40. Criminal Procedure § 40-10-108

The undertaking entered into pursuant to § 40-10-107 may be in substance as follows:

State of Tennessee,

County of__________.

We, A. B., C. D., and E. F., witnesses against G. H., charged with a public offense, do each bind ourselves to appear at the next term of the (circuit) court of __________ County, on the second day of the term, to give evidence against G. H., and, in case of failure, to pay the state of Tennessee two hundred fifty dollars ($250).