1 of 2
Judge Valencia Nash Justice of the Peace, Precinct 1, Place 2 South Dallas Government Center
8301 S. Polk Street ST.2200
Dallas Texas 75232
Phone 972.228.2272
Fax 972.228.2472
Justice Court Civil Case Information Sheet (9/1/13)
Cause Number (for Clerk use ONLY) ______-________________________K
STYLED _____________________________________________________________________________
v.
_____________________________________________________________________________________
(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 information 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 replaces nor supplements the filings or service of pleadings 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 in case:
___________________________________________________
Name
___________________________________________________
Address Apt/Suite
___________________________________________________
City State Zip
___________________________________________________
Email
___________________________________________________
Telephone
___________________________________________________
Fax
___________________________________________________
State Bar No.
___________________________________________________
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 instiitution, 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 claim for rent may be joined with an eviction case if
the amount of rent due and unpaid is not more than $10,000,
excluding statutory interest and court cost
s buy including
attorney fees, if any.
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, exlcuding
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.
Charles Phelps
2645 DORRINGTON DR
DALLAS
TX
75228
(469) 849-2707
Charles Phelps
2 of 2
Judge Valencia Nash Justice of the Peace, Precinct 1, Place 2 South Dallas Government Center
8301 S. Polk Street ST.2200
Dallas Texas 75232
Phone 972.228.2272
Fax 972.228.2472
CASE NO. JS _____________________K
STATEMENT OF CLAIM
IN THE SMALL CLAIM COURT OF DALLAS COUNTY, TEXAS
PLAINTIFF’S NAME__________________________________________________
ADDRESS/CITY/ZIP__________________________________________________
TELEPHONE ( ) ______________________________________________________
Is Defendant in the Military? Yes___ No___
If yes, is the Defendant of active duty? Yes___ No___
DEFENDANT’S NAME________________________________________________
AGENT FOR SERVICE________________________________________________
If corporation/Company…Agent to be Served
ADDRESS/CITY/ZIP__________________________________________________
TELEPHONE ( ) ______________________________________________________
HEREINAFTER called DEFENDANT(S) is (are) justly debted to PLAINTIFF(S) in the sum of
$_______________________ (plus court costs)
FOR (state the nature of the claim)
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
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:
______________________________________________________________________________________________.
_______________________________ _____________________________________
Plaintiff Signature Signature of Attorney for Plaintiff (if applicable)
ADDRESS/CITY/ZIP (Plaintiff Attorney___________________________________________________________
TELEPHONE ( ) ____________________________________________
SUBSCRIBED AND SWORN TO BEFORE ME THIS _____ DAY OF ____________ 20_____
_______________________________
JUDGE/CLERK/NOTARY PUBLIC
PRECINCT 1, PLACE 2
DALLAS COUNTY, TEXAS
Charles Phelps
2645 DORRINGTON DR DALLAS, TX 75228
(469) 849-2707
Kenneth Lorang
309 Running Fox Rd Columbia, SC 29223
(469) 261-9321
2941.30
The nature of this complaint is towards : (xv) Failure to return personal property.
pchuck700@gmail.com