Petition For Relief Under Section 92.0563 Of The Texas Property Code Form
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1CASE NO. ____________
TENANT:___________________________________
§
In the Justice Court, Pct. _____
Vs.
§
Chambers County, Texas
LANDLORD:_________________________________
§
PETITION FOR RELIEF UNDER SECTION 92.0563 OF THE TEXAS PROPERTY CODE
1. COMPLAINT: Tenant files this petition against the above-named Landlord pursuant to Section 92.0563 of the Texas Property Code
because there is a condition in Tenant’s residential rental property that would materially affect the health or safety of an ordinary tenant.
Information regarding residential rental property:
_______________________________________________________________________________________________________________
Street Address
Unit No. (if any)
City
County
State
Zip
Landlord’s contact information (to the extent known):
_______________________________________________________________________________________________________________
Business Street Address
Unit No. (if any)
City
County
State
Zip
Phone Number
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
Phone Number
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
Phone Number
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
Phone Number
3. LEASE AND NOTICE: Check the box next to each statement that is true:
The lease is oral.
The lease is in writing.
The lease requires the notice to repair or remedy a condition to be in writing.
Tenant gave written notice to repair or remedy the condition on ____________________, 20____.
The written notice to repair or
remedy the condition was sent by certified mail, return receipt requested, ore registered mail on _________________, 20____.
Tenant gave oral notice to repair or remedy the condition on ____________________, 20____.
Name of person(s) to whom notice was given:______________________________________________________________________
Place where notice was given:__________________________________________________________________________________
4. RENT: At the time Tenant gave notice to repair or remedy the condition, Tenant’s rent was:
current (no rent owed),
not current
but Tenant offered to pay the rent owed and Landlord did not accept it, or
not current and Tenant did not offer to pay 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: Describe the 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 _______________, 20___.)
actual damages in the amount of
$__________,
a civil penalty of one month’s rent plus $500,
attorney’s fees, and
court costs. Tenant states that the total
relief requested does not exceed $10,000, excluding interest and court costs but including attorney’s fees.
Tenant Signature: ___________________________________________
Date:___________________________, 20____
__________________________________________________________
________________________________________
Street Address
Unit No. (if any)
Tenant’s Phone Number
__________________________________________________________
City
State
Zip
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