CAUSE NO. ___________________________
____________________________________________________________Plaintiff § IN THE JUSTICE COURT
VS. § PRECINCT ___ PLACE ___
____________________________________________________________Defendant(s) § BRAZOS COUNTY, TEXAS
SWORN PETITION FOR A SMALL CLAIMS LAWSUIT
I hereby state that I am filing a Small Claims lawsuit: A Small Claims case is a lawsuit brought to recover money damages, civil penalties,
personal property or other relief allowed by law. The claim can be for no more than $10,000.00, excluding statutory interest and court costs
including attorney fees, if any.
I, PLAINTIFF: ________________________________________________________________________________________________dba under
FIRM:_____________________________________________________________________________(individually, partnership, or corporation)
Whose address is:_______________________________________________________________________________________(street, city, ZIP).
Phone numbers :( home), _________________________(business),_______________________ (cell)_________________________________;
HEREINAFTER called Plaintiff, being duly sworn, on my oath say that:
DEFENDANT: ________________________________________________________________________________________________________
Whose address is: ______________________________________________________________________________________ (street, city, ZIP).
Employed by: __________________________________________________________________________________________ (street, city, ZIP)
Phone numbers: (home), ________________________ (business),_______________________(cell)__________________________________.
IS JUSTLY INDEBTED TO THE PLAINTIFF IN THE SUM OF: _____________________________________________________($___________.____)
REASON FOR FILING THIS LAWSUIT (State the nature of the claim in concise form including all pertinent dates)
_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________
□SERVICE OF CITATION: Service is requested on Defendant(s) by personal service at home or work or by alternative service as allowed by
the Texas Rules of Civil Procedure. Other addresses where Defendant(s) may be served are: ________________________________________
_____________________________________________________________________________________________________________________
ATTORNEY'S FEES: Plaintiff
□will be or □will NOT be seeking applicable attorney's fees. Attorney's name, address, phone & fax numbers
are:_________________________________________________________________________________________________________________
REQUEST FOR JUDGMENT: Plaintiff prays that Defendant(s) be served with citation and that Plaintiff have judgment against Defendant(s) for:
the amount or items above, attorney’s fees, court costs, and interest on the above sums at the statutory rate for judgments under Civil Statutes
Article 5069-1.05.
I consent for the answer and any other motions or pleadings to be sent to my email address which is:
_________________________________________________________________________________________________________.
Date signed:_______________________________ ____________________________________________________
DEFENDANT(S) INFORMATION (if known): Plaintiff’s Signature
DATE OF BIRTH:_________________________________
*LAST 3 NUMBERS OF DRIVER LICENSE:______________
*LAST 3 NUMBERS OF SOCIAL SECURITY:_____________
DEFENDANT’S PHONE NUMBER:____________________
Swor
n to and subscribed before me this ____ day of ________________, 20___. ________________________________________________
JP Small Claims Petition. Rev.01/2019 CLERK OF THE JUSTICE COURT OR NOTARY