Case No. J_________ - ___________________A

_______________________________________________ §Plaintiff(s) § In the Justice Court

V. §§ Precinct 3, Place 1

_______________________________________________ §Defendant(s) § County of Dallas, Texas

§

REQUEST FOR PROCESS

Date of Judgment : ______/______/20_____

[ ] Abstract of Judgment $ 5.00[ ] Writ of Execution $157.00 Dallas County Service / $7.00 Out of County Service

Service Address_________________________________________________________________________________________________Address Apt. # City Zip

[ ] Alias Citation $ 80.00 Dallas County

Service Address_________________________________________________________________________________________________Address Apt. # City Zip

[ ] Certified Copy $ 2.00 first page, and 25¢ for each additional page

Date Requested: _____/_____/20____Χ__________________________________________________________________

[ ] Plaintiff / [ ] Defendant

___________________________________________________________________Address

Phone ________________________ FAX ______________________

Email: ____________________________________________________________

Clerk: _____File pulled and Fee Collected: $______ [ ] Cash [ ] Check [ ] CC

Cashier: _____DATE PAID _____/_____/20_____, RECEIPT No. #_______________

Issuing Clerk: _____Date Process Issued _____/_____/20_____,

Revised 11/05/2015

FILE MARK