Request Form For Abstract Of Judgment

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REQUEST FOR ABSTRACT OF JUDGMENT
Date: ________________________
Please process this request to have Judgment against the Defendant/Respondent abstracted. The information below is to be stated
on the abstract.
CAUSE NUMBER: _____________________
__________ JUDICIAL DISTRICT COURT
STYLE:
____________________________________________________________________________________________
VS.
Creditor's last known address: __________________________________________________________________________
_____________________________________________________________________________________________________
Debtor's last known address: ____________________________________________________________________________
_____________________________________________________________________________________________________
Debtor's Date of Birth: _____________________________________________
Debtor's Social Security No: _________________________________________
Debtor's Driver's License Number: ___________________________________
Date of Judgment: _________________________________________________
Amount of Judgment: ______________________________________________
Judgment Credit, if any: ___________________________________________
Number of Abstracts requested: ____________________________________
Requested by:
Law Firm: ____________________________________________________________________________________
Attorney: ______________________________________________________________________________________
Bar Number: __________________________________________________________________________________
Address: _____________________________________________________________________________________
______________________________________________________________________________________________
City
State
Zip
Phone Number: _______________________________________________________________________________
HOLD FOR PICKUP
RETURN BY MAIL (SEE BELOW)
Please submit this request along with an $8.00 fee plus postage to Chris Daniel District Clerk; (P.O. Box 4651
Houston, Texas (Pro Se Filers only)
According to The Supreme Court of Texas, an order was signed adopting Texas Rule of Civil Procedure 21c and Amendments to
Texas Rules of Civil Procedure 4, 21, 21a, and 502.1, Texas Rules of Appellate Procedure 6 and 9, and the Supreme court Order
Directing the Form of the Appellate Record in Civil Cases to be effective January 1, 2014 for Harris County. This order mandates
electronic filing in all Civil Courts and restricts us from accepting paper filing from any filer other than Pro Se filers
This form can be found on our website at
Revised 5/18/2010

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