Petition: Eviction Case Form (Page 4 of 4) in pdf

Petition: Eviction Case Form Page 4

CAUSE NO. _____________________

(court use only)

_________________________________________________________

_____________________________________________

IN THE JUSTICE COURT

Plaintiff(s)

VS.

PRECINCT ____ PLACE ____

_____________________________________________

LIBERTY COUNTY, TEXAS

_____________________________________________

NON-MILITARY AFFIDAVIT

Service-member’s Civil Relief Act

Plaintiff being duly sworn on oath deposes* and says that defendant(s) is (are)

(CHECK ONE)

____ not in the military

____ not on active duty in the military and/or

____ not in a foreign country on military service

____ on active military duty and/or is subject to the Service-member Civil Relief Act of 2003

____ has waived his/her rights under the Service-members Civil Relief Act of 2003

____ military status is unknown at this time

______________________________________

PLAINTIFF

Subscribed and sworn to before me on this the ______ day of _________________, 20 _____.

_______________________________________

NOTARY PUBLIC / CLERK OF THE COURT

*Penalty for making or using false affidavit – a person who makes or uses an affidavit

knowing it to be false, shall be fined as provided in Title 18, United States Code, or

imprisoned for not more than one year or both.

Petition: Eviction Case Form Page 4