In Small Claims Court Number One by crawfordhanes

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									                                            In Small Claims Court Number One
                                                  Walker County, Texas

                                              Small Claims Affidavit
_______________________________________________                                           NO. ____________________________

________________________________________________Plaintiff
                      VS
________________________________________________

_______________________________________________Defendant


________________________________________________________________________________, whose mailing address is
         (Plaintiff’s Name)
____________________________________________, ___________________________________________, ____________;
         (Street and Number)                               (City)                             (Zip Code)
physical address _______________________________________________________________________________________ ,

_____________________________________________ County, Texas being duly sworn, on his/her oath deposes and says that

__________________________________________________________________________________, whose mailing address is
(Defendant(s) Name)
____________________________________________, ____________________________________________, ____________;
(Street and Number)                                 (City)                                     (Zip Code)
physical address _________________________________________________________________________________________ ,

__________________________________________________________ County, Texas is justly indebted to him/her in the sum of

__________________________________________________________ Dollars and _______________________________ Cents

($________________________), for __________________________________________________________________________

________________________________________________________________________________________________________

________________________________________________________________________________________________________

                                 AFFIDAVIT OF MILITARY STATUS OF DEFENDANT(S)

Is any Defendant, in this case, on active duty in the U. S. military? NO_______YES______ If yes, has the defendant signed,
while on active duty, a separate written waiver or a written lease containing a waiver of his or her rights under the U.S. Service
members Civil Relief Act of 2003 NO_______YES______ If yes, you must submit a copy of the written waiver or written lease
with this filing.

                                                                        ______________________________________________
                                                                        Plaintiff’s Signature

_______________________________________                                 ______________________________________________
Defendant’s Home Telephone Number                                       Plaintiff’s Home Telepone Number

_______________________________________                                 ______________________________________________
Defendant’s Work Telephone Number                                       Plaintiff’s Work Telephone Number



_________________________________________                               Janie H. Farris
Notary Public, _________________County, Texas                           Judge presiding

                                                                        By___________________________________________
                                                                               Court Clerk

								
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