Texas Court Forms For Juveniles (Page 29 of 39) in pdf

Texas Court Forms For Juveniles Page 29

STATEMENT/CHANGE OF RESIDENTIAL ADDRESS

CAUSE NUMBER: _______________

STATE OF TEXAS

IN THE MUNICIPAL COURT

VS.

CITY OF __________________

___________________

__________COUNTY, TEXAS

According to the records of the Court, the following is the residential address of the Defendant named above:

_______________________________

Check, sign, and date beneath ONE of the following:

 The information stated above is the CORRECT residential address of the Defendant named above. The Court has given me

written notice of my continuing obligation to keep the Court informed as to changes in the Defendant’s correct residential

address. I understand that violation of my obligation is a Class C misdemeanor punishable by a fine not to exceed $500.00

dollars (excluding fees and costs) and may result in my arrest.

________________________________________

Signature

Date

 The information stated above is an INCORRECT residential address for the Defendant named above. I understand that

knowingly making a false statement in a governmental record is a Class A misdemeanor. The CORRECT residential address

for the Defendant is:

_______________________________

The Court has given me written notice of my continuing obligation to keep the Court informed as to changes in the Defendant’s

correct residential address. I understand that violation of my obligation is a Class C misdemeanor punishable by a fine not to

exceed $500.00 dollars (excluding fees and costs) and may result in my arrest.

________________________________________

Signature

Date

Received, this the ___ day of ______________, 20___.

________________________________________

(Judge) (Clerk) (Deputy Clerk), Municipal Court

JUVENILES 08/13

TMCEC 2013 FORMS BOOK

221

Texas Court Forms For Juveniles Page 29