Fillable Municipal Court P.O. Box 459, Mineral Wells, TX (City of Mineral Wells)

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Municipal Court P.O. Box 459, Mineral Wells, TX (City of Mineral Wells)

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BROWSE CITY OF MINERAL WELLS (TX) FORMS

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Page 1 of 3
Municipal Court
P.O. Box 459, Mineral Wells, TX 76068-0459
Telephone: (940) 328-7733 Fax: (940) 328-7732
TO: CITIZEN COMPLAINANT WISHING TO FILE A COMPLAINT AGAINST ANOTHER CITIZEN IN
MUNICIPAL COURT
THESE SPECIFIC POINTS ARE UNDERSTOOD AND AGREED TO BY THE UNDERSIGNED:
1) The citizen must, in good faith, make full, fair, and honest disclosure of all facts and circumstances
known to him/her at the time this application for complaint is filed. The facts, as presented, must
be in the form of an affidavit and provided under oath. Said affidavit will form the basis of any further
investigation and the charging instrument.
2) The citizen-complainant must be sworn and sign both the application for complaint and the
complaint (when prepared by the city prosecutor).
3) The citizen-complainant must be willing to appear in Court to testify against the defendant if the
charges are contested (i.e., the accused pleads not guilty).
4) The prosecutor reserves the right to subpoena the presence of the citizen-complainant and enforce
the subpoena by ordering a law enforcement officer to bring the citizen-complainant to Court.
5) The defendant may file a counter-complaint if the citizen-complainant has also been involved in
some illegal activity. Please be advised that any statement made at this time or in the future to a
police officer, prosecutor, or other city investigative personnel may be used against you should the
counter-complaint go forward to trial. Please be advised that when speaking to the prosecutor, the
prosecutor represents the State of Texas, and no attorney-client relationship is established by any
communications with regard to the application for the complaint or any matters related thereto.
6) Once this complaint is accepted by the prosecutor and filed with the court, only the judge, upon
recommendation of the prosecutor, has the authority to dismiss a complaint.
________________________________________
Citizen-Complainant Signature
________________________________________
Printed Name
_____________________________________
Date
Page 2 of 3
APPLICATION FOR COMPLAINT
DATE: ______________________________________________________________________________________
COMPLAINANT’S NAME: _____________________________________________________________________
ADDRESS: ___________________________________________________________________________________
CITY, STATE, ZIP: ____________________________________________________________________________
PHONE (HOME): _____________________________________ WORK:________________________________
NAME OF DEFENDANT: _______________________________________________________________________
ADDRESS: ___________________________________________________________________________________
CITY, STATE, ZIP: ____________________________________________________________________________
PHONE (HOME): _____________________________________ WORK: _______________________________
PLACE OF EMPLOYMENT: ____________________________________________________________________
DESCRIPTION OF DEFENDANT
RACE: ________________ SEX: ____________________ DATE OF BIRTH: _________________________
WEIGHT: _____________ BODY STYLE: ______________________________________ AGE: __________
VEHICLE INFORMATION (IF APPLICABLE)
MODEL: ___________________________ MAKE: ________________________________ YEAR: ________
COLOR: _________________ BODY STYLE: __________________________ SPECIAL FEATURES: ______
LICENSE PLATE: ________________________ STATE OF REGISTRATION: _________________________
DATE OF OFFENSE: ______________________________ TIME OF OFFENSE: ________________________
LOCATION OF OFFENSE: ______________________________________________________________________
TYPE OF PREMISES: __________________________________________________________________________
WHAT IS YOUR COMPLAINT? (Describe with as much detail as possible – use as many pages as necessary to
fully, fairly, and honestly relate all material facts and circumstances.)
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
Page 3 of 3
LIST OF WITNESSES (Use additional pages if necessary.)
NAME: ______________________________________________________________________________________
ADDRESS: ___________________________________________________________________________________
CITY, STATE, ZIP: ____________________________________________________________________________
PHONE (HOME): _____________________________________ WORK: _______________________________
NAME: ______________________________________________________________________________________
ADDRESS: ___________________________________________________________________________________
CITY, STATE, ZIP: ____________________________________________________________________________
PHONE (HOME): _____________________________________ WORK: _______________________________
NAME: ______________________________________________________________________________________
ADDRESS: ___________________________________________________________________________________
CITY, STATE, ZIP: ____________________________________________________________________________
PHONE (HOME): _____________________________________ WORK: _______________________________
I swear that the statements made herein are within my personal knowledge and are true and correct.
____________________________________________ ____________________________________________
Citizen Complainant’s Signature Date
____________________________________________ ____________________________________________
Court Clerk’s Signature Filing Date
DO NOT WRITE BELOW THIS LINE
REVIEWED BY: ______________________________________________________________ (City Prosecutor)
RECOMMENDATION: ________________________________________________________________________
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Municipal Court P.O. Box 459, Mineral Wells, TX (City of Mineral Wells)

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Completed 23 January 2021

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