Justice Court Civil Case Information Sheet - Petition: Small Claims Case - 2013 Page 2

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PETITION: SMALL CLAIMS CASE 
 
CASE NO. (court use only) _____________________  
                 
                                                                                                                                  In the Justice Court, Precinct 1, Montgomery, Texas 
 
PLAINTIFF__________________________________________________ 
 
            
 
 
 
 VS.                                
 
 
 
 
 
 
                             
DEFENDANT(S):_____________________________________________ 
      
 
Defendant(s) address: _________________________________________________________________________________       ____
 
                 
COMPLAINT:  The basis for the claim which entitles the plaintiff to seek relief against the defendant is:  
 
 
 
 
 
 
 
RELIEF:  Plaintiff seeks damages in the amount of $____________, and/or return of personal property as described as follows (be 
specific): ____________________________________________, which has a value of $________.   
 Additionally,  plaintiff  seeks  the  following:  ______________________________________________________________________ 
___________________________________________________________________________________________________________. 
 
SERVICE OF CITATION:  Service is requested on defendants by personal service at home or work or by alternative service as allowed 
by the Texas Justice Court Rules of Court.  Other addresses where the defendant(s) may be served are: 
___________________________________________________________________________________________________________. 
 
                   
       If you wish to give your consent for the court to contact you via email with time‐sensitive information, please check this box, 
and provide your valid email address:  __________________________________________________________________________.
       
 
 
     _____________________________________________ 
_____________________________________________ 
     Petitioner's Printed Name   
 
 
 
Signature of Plaintiff or Attorney       
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
____________________________________________________ 
    DEFENDANT(S) INFORMATION (if known): 
 
 
Address of Plaintiff’s Attorney, if any, or Plaintiff if none 
    DATE OF BIRTH:______________________________   
 
 
 
 
 
 
 
 
 
 
 
    
 
 
 
____________________________________________________ 
    *LAST 3 NUMBERS OF DRIVER LICENSE:______________ 
City 
 
 
State 
 
 
Zip 
    *LAST 3 NUMBERS OF SOCIAL SECURITY:_____________ 
 
 
____________________________________________________                        
            DEFENDANT’S PHONE NUMBER:____________________ 
Phone & Fax No. of Plaintiff’s Attorney, if any, or Plaintiff if none 
 
 
 
 
 
 
 
EFFECTIVE SEPTEMBER 1, 2013 
 
EFFECTIVE JANUARY 1, 2015
$46.00 FILING FEES 
$46.00 FILING FEE
$75.00 SERVICE FEE (PER DEFENDANT)
$65.00 SERVICE FEES (PER DEFENDANT) 
        WILLIS LOCATION                     MONTGOMERY LOCATION 

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