Fill - Free fillable INTHEPROBATECOURT THESTATEOFTEXAS FORTHEBESTINTEREST DENTONCOUNTY,TEXAS ANDPROTECTIONOF APPLICATIONANDCONSENTTOWAIVEAJURY NowcomestheundersignedProposedPatient,intheaboveentitledandnumberedcause,andfi PDF form

CAUSENO.______________________

§ INTHEPROBATECOURT

§

 § OF

§

THESTATEOFTEXAS

FORTHEBESTINTEREST

ANDPROTECTIONOF

§ DENTONCOUNTY,TEXAS

APPLICATIONANDCONSENTTOWAIVEAJURY

NowcomestheundersignedProposedPatient,intheabove‐entitledandnumberedcause,andfilesthis

writtenapplicationtorespectfullyrequesttheCourttowaivetherightoftrialbyjuryherein.Asa

prerequisitetobeingtriedbeforetheCourt,beforeanannouncementofreadyherein,theProposed

Patientpresentsthispetition,andrespectfullystatesthefollowingfactsaretrueto‐wit:

1. ThatthisProposedPatientisdulyrepresentedbycounselinthiscause,inthemannerdirected

bylaw;

2. ThatthispetitionispresentedinpersonandinwritingbytheProposedPatient,inopencourt,

withtheconsentandapprovalofboththepresidingjudgeofsaidCourtandtheAttorney

representingtheStateofTexas,andthisapplicationandconsentisbeingoffered,priortothe

entryoftheProposedPatient'sannouncementofreadytotheApplicationforCourt‐Ordered

ExtendedMentalHealthServices.

3. ThatthiscaseisclassifiedasaMentalHealthcase.

WHEREFORE,inopencour t,andpriortotheentryofanannouncementofreadywherein,theProposed

Patientpresentsthiswrittenapplication,andrequeststhewaiverofajuryduringthetrialofthiscause,

andrequeststrialbeforetheCourt.

WITNESSmyhandthisthe______dayof_________________,20___.

____________________________________

Guardianifapplies

______________________________

ProposedPatient

________________________________

AttorneyforProposed

Patient

initials

Enter Patient's Name

Enter Attorney's Name

STATEOFTEXAS

COUNTYOFDENTON

Beforeme,theundersignedauthority,onthisdaypersonallyappeared ,proposed

patient,and ,attorneyforproposedpatient,knowntometobethepersonwhosename

issubscribedtotheforegoinginstrumentexecutedthesameforthepurposeandconsiderationtherein

expressed.

Givenundermyhandandsealofofficethis____dayof_____________________,20___.

JULIE LUKE,COUNTYCLERKDenton

County,Texas

BY:______________________

DeputyClerk

Nowcomes,theundersignedattorneyrepresentingtheStateofTexasinthetrialofthiscause,andin

Court,acknowledgesthatthesta tementsintheforegoingapplicationofsaidProposedPatientaretrue

andthatthisisaMentalHealthcase.

Whereupon,saidattorneyherebygivesconsentandapprovalthattheProposedPatient,whosenameis

signed,begrantedtherighttowaiveatrialbyjuryandbetriedbeforetheCourt.

________________________________

STATE'SATTORNEY

Inopencourt,priortotheProposedPatient'sannouncementofreadyherein,andatthetimeandplace

givenabove,theCourtconsentstoandapprovessaidapplication,andgrantspermissionthatsaid

ProposedPatientmaywaivetherightofatrialbyjur

y,andbetriedbytheCourt.

ITISFURTHERORDEREDthatthisconsentandapprovalpermittingtheProposedPatienttowaivethe

rightoftrialbyjury,beproperlyenteredofrecordintheminutesofthisCourt,andthisinstrumentbe

filedwithotherrecordsandpapersinthiscause.

SIGNEDthisthe_______dayof_________________,20___.

_______________________________

ASSOCIATEJUDGE

PROBATECOURT

DENTON,COUNTY,TEXAS

Enter Patient's Name

Enter Attorney's Name

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INTHEPROBATECOURT THESTATEOFTEXAS FORTHEBESTINTEREST DENTONCOUNTY,TEXAS ANDPROTECTIONOF APPLICATIONANDCONSENTTOWAIVEAJURY NowcomestheundersignedProposedPatient,intheaboveentitledandnumberedcause,andfilesthis writtenapplicationtorespectfullyrequesttheCourt

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