REQUEST FOR JUDGMENT: Plaintiff prays that defendant(s) be served with citation and that plaintiff
have judgment against defendant(s) for: possession of premises, including removal of defendants and
defendants’ possessions from the premises, unpaid rent IF set forth above, attorney’s fees, court costs, and
interest on the above sums at the rate stated in the rental contract, or if not so stated, at the statutory rate for
judgments under Civil Statutes Article 5069‐1.05.
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Plaintiff
Agent or Attorney
Said Plaintiff (or agent or attorney), being duly sworn by me, the undersigned authority, upon oath says that the facts as
stated in the above instrument are, within the knowledge of said Affiant, true and correct.
SUBSCRIBED AND SWORN TO before me this ____________ day of ___________________________________, 20_________.
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Clerk of the Court or Notary Public