JUSTICE COURT CIVIL CASE INFORMATION SHEET
CAUSE NUMBER (FOR CLERK USE ONLY): __________________________
STYLED: ________________________________________________________________________________
(e.g, John Smith v. All American Insurance Co.; In re Mary Ann Jones; In the Matter of the Estate of George Jackson)
A civil case in formation sheet must be completed and submitted when an original petition is filed to initiate a new
suit. The information should be the best available at the time of filing. This sheet, required by Rule of Civil
Procedure 502, is intended to collect information that will be used for statistical purposes only. It neither replaced
nor supplements the filings or service of pleading or other documents as required by law or rule. The sheet does
not constitute a discovery request, response, or supplementation, and it is not admissible at trial.
1. Contact information for person completing case
information sheet:
2. Names of parties case:
Name: Telephone:
________________________ _______________________
Address: Fax:
________________________ _______________________
City/State/Zip: State Bar Number:
________________________ _______________________
Email:
_______________________________________________
Signature:
_______________________________________________
Plaintiff(s):
______________________________________
______________________________________
Defendant(s):
______________________________________
______________________________________
(Attach additional page as necessary to list all
parties)
3. Indicate case type, or identify the most important issue in the case (select only 1):
Debt Claim: A debt claim case is a lawsuit brought to
recover a debt by an assignee of a claim, a debt
collector or collection agency, a financial institution, or
a person or entity primarily engaged in the business of
lending money at interest. The claim can be for no
more than $10,000, excluding statutory interest and
court costs but including attorney fees, if any.
Eviction: An eviction case is a lawsuit brought
to recover possession of real property, often
by a landlord against a tenant, A clain for rent
may be joined with an eviction case if the
amount rent due and unpaid is not more than
$10.000, excluding statutory interest and court
costs
Repair and Remedy: A repair and remedy case is a
lawsuit filed by a residential tenant under Chapter 92,
Subchapter B of the Texas Property Code to enforce
the landlord’s duty to repair or remedy a condition
materially affecting the physical health or safety of an
ordinary tenant. The relief sought can be for no more
than $10,000, excluding statutory interest and court
costs but including attorney fees, if any.
Small Claims: A small claims case is a lawsuit
brought for the recovery of money damages,
civil penalties, personal property, or other
relief allowed by law. The claim can be for no
more than $10,000 excluding statutory interest
and court costs but including attorney fees, if
any.
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PETITION: SMALL CLAIMS CASE
CASE NO. ____________________ IN THE JUSTICE COURT PRECINCT 4
HUNT COUNTY, TEXAS
PLAINTIFF(S): ______________________________________________________
VS
DEFENDANT(S): ____________________________________________________
ADDRESS: _________________________________________________________
COMPLAINT: The basis for the claim which entitles the plaintiff to seek relief against the defendant is:
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
RELIEF: Plaintiff seeks damages in the amount of $____________, and/or return of personal property as
described as follows (be specific):___________________________________________________________,
which has a value of $___________.
Additionally, plaintiff seeks the following: ____________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
SERVICE OF CITATION: Service is requested on defendants by personal service at home or work or by
alternative service as allowed by the Texas Justice Court Rules of Court. Other addresses where the
defendant(s) may be served are:
___________________________________________________________________________________
If you wish to give your consent for the answer and any other motions or pleadings to be sent to your email
address, please check this box and provide your valid email address: ___________________________________
______________________________ _________________________________________
Petitioner’s Printed Name Signature of Petitioner or Attorney
___________________________________________________________________________________
Address of Petitioner or Agent or Attorney
________________________________________
Phone & Fax No. of Petitioner or Agent or Attorney
Defendant’s Information (if known):
Date of birth: ________________ Last three digits of Driver License: __________
Phone No.:_______________ ___ Last three digits of Soc. Sec. No.: __________
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signature
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CASE NO ___________________________
AFFIDAVIT
SERVICE MEMBERS CIVIL RELIEF ACT SEC (.201(b)
P
LAINTIFF BEING DULY SWORN ON HIS OATH DEPOSES AND SAYS THAT DEFENDANT(S):
____ IS NOT IN THE MILITARY
____ NOT ON ACTIVE DUTY IN THE MILITARY AND/OR
____ NOT IN A FOREIGN COUNTRY ON MILITARY SERVICE
____ IS ON ACTIVE MILITARY DUTY AND/OR IS SUBJECT TO THE SERVICE MEMBERS RELIEF ACT OF 2003
____ DEFENDANT HAS WAIVED HIS RIGHTS UNDER THE SEVICE MEMBERS RELIEF ACT OF 2003
____ MILITARY STATUS IS INKNOWN AT THIS TIME
____
____________________________
PLAINTIFF
S
UBSCRIBED AND SWORN TO BEFORE ME THIS _______ DAY OF _________________, _______.
_______________________________________
NOTARY PUBLIC IN AND FOR THE STATE OF
TEXAS CLERK OF THE JUSTICE COURT
P
enalty for making or using false affidavit- A person who makes or used and affidavit knowing to be false, shall be
fined as provided in title 18 United States Code, or imprisoned for not more than one year or both.