County Clerk “Copy Request” Cover Sheet
Page of
(Please use a separate form for each case / cause #)
Date:
To: Denton County Clerk, Juli Luke
Department: Civil Clerk Fax: (940) 349-5215 / Email: countyclerkcivil@dentoncounty.com
From Name: ________________________________ Firm:_____________________________________ From N
Phone #: (____) ________-________ (required)
Credit Card:
Name as it appears on Card: ________________________________________________________________
Credit Card Acct #:_____________________________________________________Exp. Date:_____/____
(Check whi
ch applies) Master Card _________ Discover __________ American Express _________Visa_________
Mailing Address: _________________________________City ________State________ ZIP___________
Email Address___________________________________________________________________________
**Providing an email address will allow your receipt to be emailed to you. **
Authorized Signature: ______________________________________________________
This form authorizes the Merchant (LexisNexis Payment Solutions) to charge my account, for services rendered by the County Clerk’s Office, plus a
$2.50 service fee.
Case / Cause #: ________________________ Defendant’s Name: ______________________
Please list documents:
After we receive the request, our office has a 10-day turnaround.
□ Certified Copies □ Mailed Plain Copies
□ Clerks Certificate
* Electronic Plain Copies – Must Use Email Request Form
Document Title Date Document Filed
_______________________________________________________________________ ____________________________________________
_______________________________________________________________________ ____________________________________________
_______________________________________________________________________ ____________________________________________
_______________________________________________________________________ ____________________________________________
Certified Copies $5.00 per document + $1.00 per additional page (certified copies will be mailed back to the address listed
above)
Clerk’s Certificate $5.00 per cert. + $1.00 per additional page
Plain Copy $1.00 per page (plain copies will mailed to the address listed above.)
