Request A Court Date Form
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1Judge Wayne L. Mack
Justice of the Peace, Precinct One
Montgomery County, Texas
Docket #: __________________________________ Offense Date: _______________________________
Printed Name: _________________________________________________________________________
Mailing Address: _______________________________________________________________________
City: __________________________________ State: ____________ Zip: _________________________
Cell Phone: _______________ Home Phone: ___________________ Office Phone:__________________
Driver’s License / Identification: ___________________________ State Issued: ____________________
CHECK ONE OF THE FOLLOWING
_____ I am pleading NOT GUILTY and request a Pre‐Trial Conference
_____ I request a Show Cause Hearing to explain why I FAILED to present proof of
MANDATORY court requirements
CHOOSE A LOCATION FOR YOUR HEARING
_____ 300 S. Danville St.
_____ 19380 Hwy 105 West, Ste 507
Willis, TX 77378
Montgomery, TX 77356
(936) 539‐7801 phone
(936) 788‐8374 phone
(936) 788‐8399 fax
(936) 788‐8379 fax
I understand only 1 (one) reset will be granted for a Pre‐Trial Hearing. Request for a reset must be made
in writing at least 3 business days prior to my court date.
Date: ______________________________
_____________________________________________
Defendant’s Signature
REQUESTS NOT SIGNED WILL NOT BE ASSIGNED A COURT DATE.
Please fax or mail the completed form in order to receive a court date notice via mail.
Additional fees and a warrant for your arrest may be issued for not appearing
at your scheduled court date.
(Penal Code 38.10)
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Parent category: Legal