NO. _______________
_________________________ )(
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VS. )(
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________________________ )(
IN THE JUSTICE COURT
PRE
CINCT ONE
DENTON COUNTY, TEXAS
SERVICE MEMBERS CIVIL RELIEF ACT AFFIDAVIT
STATE OF TEXAS )(
COUNTY OF DENTON )(
BEFORE ME, the undersigned authority, personally appeared the below-named affiant,
who upon oath deposed and stated:
I am over the age of eighteen (18) years and am competent to make this affidavit. I am the
Plaintiff
Plaintiff’s agent
in the above-entitled and numbered matter.
is not in the military service on active duty, and is not a dependent of a servicemember on
active duty
is in the military service on active duty
I have been unable to determine whether or not the defendant is in the military service on
active duty
I understand that any false statements in this document are made under penalty of perjury, and that
making a false statement is a violation of Federal Law and is subject to both fine and imprisonment.
DATED this ____ day of __________________________, 20____.
________________________________________
Affiant
SUBSCRIBED AND SWORN TO before me this ____ day of ______________, 20___.
________________________________________
Notary Public
Court Clerk
J1 Servicemembers Affidavit
I have made a personal investigation and have attached the following documentation (required):
____________________________________________________________________________
As a result of the investigation or review, it is my belief that the above-named defendant
