Small Claims Court Form - Wise County, Texas

NO.___________________________Plaintiff (s):_____________________________________________________Address:________________________________________________________Phone: _________________________________________________________VS.Defendant(s):____________________________________________________□ an individual □ a proprietor or partnership (dba) □ a corporationHome Address:___________________________________________________________________________________________ County:________________IN THESMALLCLAIMS COURTPRECINCT THREEWISE COUNTY, TEXASPhone:__________________________________________________________A Registered Agent must be served if the Defendant is a Corporation:Name:__________________________________________________________Address:__________________________________________________________________________________Plaintiff’s Original PetitionI.COMES NOW the above styled plaintiff being duly sworn, on his/her oath deposes and says that the above styleddefendant is justly indebted to the plaintiff in the sum of $____________________(DO NOT INCLUDE COURT COST).II.Plaintiff’s claim is based upon the following: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________That there are no counter claims existing in favor of the defendant and against the plaintiff.THAT plaintiff reserves the right to plead further orally upon trial of this matter.III.________________________________________Plaintiff’s SignatureSUBSCRIBED AND SWORN TO before me this ____________ day of ___________________________________, 20_________.__________________________________________________Clerk of the Court or Notary Public

NO._______________________________________________________________ )( In the Justice Court ORSmall Claims CourtVS )( Precinct Three____________________________________ )( Wise County, TexasSERVICE MEMBER’S CIVIL RELIEF ACT AFFIDAVITSTATE OF TEXAS )(COUNTY OF WISE )(BEFORE ME, the undersigned authority, personally appeared the below-named affiant, who uponoath deposed and stated:I am over the age of eighteen (18) years and am competent to make this affidavit. I am the□Plaintiff□ Plaintiff’s agentin the above-entitled and numbered matter.I have: □ made a personal investigation□personally reviewed the business records of the PlaintiffAs a result of the investigation or review, it is my belief that the above-named defendant:□ is not in the military service on active duty, and is not a dependent of a service memberon active duty.□ is in the military service on active duty□ I have been unable to determine whether or not the defendant is in the military service onactive duty.I understand that any false statements in this document are made under penalty of perjury, and that making afalse statement is a violation of Federal Law and is subject to both fine and imprisonment.DATED this the ____________ day of ___________________________________, 20_______._______________________________________AffiantSUBSCRIBED AND SWORN TO before me this the ________ day of ________________________, 20____.________________________________________________□ Notary Public□ Court Clerk