Complete the form and click on the button below to print it.
Click the button below to print the form. Remember to sign, date, and include the fine amount after printing.
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| Plaintiff's Signature | |
SWORN TO AND SUBSCRIBED TO BEFORE ME THIS THE __________ DAY OF _______________________ , 20 ____
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| ________________________________________________________ | ___________________________________________________________ |
| NOTARY PUBLIC STATE OF TEXAS | SIGNATURE |
COMM. EXP. _________________________________________________ |
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Notice:Texas Law prohibits Judges or their Clerks from discussing the merits of cases that are or may be filed in this court. Should you need legal advice you should contact an Attorney of your own choosing. Do Not attempt to obtain legal advice from this court.