CAUSE NO.__________________________
TE
NANT: _______________________________________ § IN THE JUSTICE COURT
VS. § PRECINCT ____ PLACE ___
LANDLORD: ____________________________________ § BRAZOS COUNTY, TEXAS
PETITION FOR REPAIR & REMEDY UNDER CHAPTER 92, SUBCHAPTER B OF THE TEXAS PROPERTY CODE
1. C
OMPLAINT: Tenant files this petition to enforce Landlord’s duty under Chapter 92, Subchapter B of the Texas Property
Code to repair or remedy a condition in Tenant’s residential rental property materially affect the physical health or safety of
an ordinary tenant. The relief sought can be for no more than $10,000.00, excluding statutory interests and court costs but
including attorney fees, if any. Residential Rental Property is located at:
Street Address Unit No. (if any) City County State Zip
Landlord’s Contact Information (if known):
_________________________________________________________________________________________________________
Business Street Address Unit No. (if any) City County State Zip
2. SERVICE OF CITATION: Check the box next to each statement that is true.
□ Tenant received in writing Landlord’s name and business street address.
□ Tenant received in writing the name and business street address of Landlord’s management company.
□ The name of Landlord’s management company is _____________________________. To Tenant’s knowledge, this is the
Management Company’s contact information:
_________________________________________________________________________________________________________
Business Street Address Unit No. (if any) City County State Zip
The name of Landlord’s on-premise manager is ________________________________. To Tenant’s knowledge, this is the
on-premise manager’s contact information:
_________________________________________________________________________________________________________
Business Street Address Unit No. (if any) City County State Zip
The name of Landlord’s rent collector serving the residential rental property is ______________________________________.
To tenant’s knowledge, this is the rent collector’s contact information:
_________________________________________________________________________________________________________
Business Street Address Unit No. (if any) City County State Zip
3. LEASE AND NOTICE: Check the box next to each statement that is true.
□ The lease is in writing; □ The lease is oral; □ The lease requires notice to repair or remedy a condition to be in writing.
□ T
enant gave written notice to repair or remedy the condition on ___________________________.
□ The written notice to repair or remedy the condition was sent by certified mail, return receipt requested, or registered mail
on __________________________________.
□ T
enant gave oral notice to repair or remedy the condition on ___________________________________________________.
□ Name o
f person(s) to whom notice was given _________________________________ at ____________________________.
4. RENT: At the time Tenant gave notice to repair or remedy the condition, Tenant’s rent was: □ current (no rent owed),
□ no
t current but Tenant offered to pay the rent owed and Landlord did not accept it, □ not current and Tenant did not offer to pa
y
the rent owed. Tenant’s rent is due on the _______ day of the □ month □ week _____________ (specify any other rent-payment
period). The rent is $_____________ per □ month □ week _____________ (specify any other rent-payment period). Tenant’s rent
(check one): □ is not subsidized by the government □ is subsidized by the government as follows, if known: $_____________ paid by
the government, and $_____________ paid by Tenant.
5. PROPERTY CONDITION: Materially affecting the physical health or safety of an ordinary tenant that Tenant seeks to have
repaired or remedied: _________________________________________________________________________________________
___________________________________________________________________________________________________________.
6. RELIEF REQUESTED: Tenant requests the following relief:□ a court order to repair or remedy the condition, □ a court
order reducing Tenant’s rent (in the amount of $_____________ to begin on ________________), □ actual damages in the
amount of $_________________, □ a civil penalty of one month’s rent plus $500, attorney’s fees, and court costs.
Tenant states total relief requested does not exceed $10,000, excluding interest and court costs but including attorney’s
fees.
Tenant Signature:______________________________________ Date:__________________________________
____________________________________________________ _______________________________________
Street address Unit No. (if any) Phone Number
_____________________________________________________
Ci
ty State Zip
