Cause No: § IN THE DISTRICT COURT § OF FORT BEND COUNTY, TEXAS § ______th JUDICIAL DISTRICT REQUEST FOR COUNSEL Now comes herein, , Respondent and states to the Court upon his/her oath that he/she is indigent and unable to employ counsel, and requests that the Court conduct a hearing to consider appointment of counsel for him/her. Respondent Subscribed and sworn to before me this , 20 . day of ON OATH District Clerk Annie Rebecca Elliott Fort Bend County, Texas By: Presiding Judge Deputy District Clerk ORDER APPOINTING COUNSEL After conducting hearing, the Court finds that this Respondent is indigent and unable to employ counsel. It is THEREFORE ORDERED that , a practicing attorney of this Court is appointed to defend Respondent. SIGNED and entered this . day of , 20 Presiding Judge American LegalNet, Inc. www.FormsWorkFlow.com