Tennessee Code Title 41. Correctional Institutions and Inmates § 41-2-126

(a) Any person, after sentence of punishment by imprisonment of any prisoner has expired, may, by contract with the workhouse commissioners and with the consent of the prisoner, bail out any prisoner, under the following form and conditions:

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___.

(c) If the bailee fails to pay the fine and costs, or costs only, according to the agreement, then the county mayor shall, in the name of the state, for the use of the county, proceed against the bailee and the sureties before any general sessions or circuit court.