IN RE: APPLICATION OF __________________________ § § § § § IN THE DISTRICT COURT OF__________COUNTY, TEXAS 33RD JUDICIAL DISTRICT ORDER UNDER T.R.C.P. RULE 103 On this day came to be heard the application of Applicant _________________________ to be authorized as a private server of process issued from the 33rd District Court of said County, Texas pursuant to the Texas Rules of Civil Procedure. This Court has examined the application and affidavit of the said Applicant and finds that the said Applicant is competent to testify, is more than eighteen years of age, and will not serve any process in any suit in which Applicant is interested in the outcome of the suit or is a party. It is the judgment of this court that this application be approved in a manner consistent with the said Texas Rules of Civil Procedure. It is therefore ordered that _______________________ is designated as an authorized person authorized to serve citation and other notices issued from the 33rd District Court of said County, Texas as described in Rule 103 T.R.C.P. The authority granted by this order is not delegable or assignable and expires December 31 of the year following the year in which the same was entered. SIGNED this day ______________________________, 20___. ________________________________ Judge Presiding IN RE; Application of ___________________________ AFFIDAVIT BEFORE ME, the undersigned authority, on this day personally appeared,__________________ _________________, 2001 © American Legalnet, Inc the undersigned Affiant, being by me duly sworn on oath stated that the following facts are true and within his personal knowledge: I, ________________________, Affiant, being of sound mind, capable of making this affidavit and fully competent to testify to the matters stated herein, make the following representations to the Judge of the 33rd District Court to induce the Judge to enter an Order authorizing me to serve citations and/or notices issued from this Court pursuant to rule, Texas Rules of Civil Procedure. I have personal knowledge of the facts and statements contained in this affidavit, and each is true and correct. . . . . I am not less than eighteen years of age, I am an individual person. I will no t serve any process in any suit in which I am a party or in any suit in which I am interested in the outcome of the suit. I have not been convicted of any felony or misdemeanor involving moral turpitude in any jurisdiction. ________________________________ Affiant SUBSCRIBED AND SWORN TO BEFORE ME by _________________________ on this the _______ day of _______________________, 20___, to certify which witness my hand and official seal of office. ________________________________ Notary Public APPLICATION FOR AUTHORIZATION AS A PRIVATE PROCESS SERVER IN THE 33RD DISTRICT COURT COUNTIES APPLYING TO: ( )BLANCO ( )BURNET ( )MASON ( ) SAN SABA ( )LLANO NAME: _________________________________________________________________ LAST FIRST MIDDLE ADDRESS: _________________________________________________________________ CITY: _________________________________ DRIVERS LIC. # ______________________________ ZIP: _______________________ STATE:___ (attach a copy of license) 2001 © American Legalnet, Inc SOC. SEC. # __________________________ DATE OF BIRTH: ____________________ PLACE OF BIRTH: _____________________________________________________________ TELEPHONE NO. WORK:(______)___________________ FAX NO. (______)____________ HOME:(___)_____________ EMAIL ADDRESS:_______________________ EXPERIENCE AND EDUCATION IN CIVIL PROCESS: ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ HAVE YOU EVER BEEN CONVICTED OF A FELONY OR MISDEMEANOR INVOLVING MORAL TURPITUDE? YES_______________ NO__________________ IF YES, EXPLAIN: _____________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ HAVE YOU EVER BEEN DENIED A LICENSE, PERMIT, OR OTHER AUTHORIZATION TO DO BUSINESS: YES_______________ NO__________________ IF SO, STATE THE PLACE, DATE, CIRCUMSTANCES, NATURE OF THE PERMIT OR LICENSE AND IDENTIFY THE AGENCY HAVING RECORDS PERTAINING TO SAME: ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ NAME, ADDRESS AND PHONE NUMBER OF A PERSON WITH PERMANENT INFORMATION AS TO YOUR WHEREABOUTS AND FUTURE LOCATION AND ADDRESS:____________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ I, ________________________, having personally completed the foregoing application for authorization as a private process server, and do hereby swear, subject to the penalties of perjury, that the facts stat ed above are true and correct and of my own personal knowledge, and do furt her swear that I have read and am familiar with the provisions of the Texas Rules of Civil Procedure relating to the service of civil process, and am familiar generally with law relating to civil process. I do hereby swear to comport myself in all respects as an officer of the court in connection with the service of civil process, and to uphold the constitution and laws of the State of Texas in connection with my service in this capacity as a special officer of the Court. ______________________________ 2001 © American Legalnet, Inc Signature of Applicant SUBSCRIBED AND SWORN TO BEFORE ME this the _______ day of ___________________, 2000. ______________________________ Notary Public Signature 2001 © American Legalnet, Inc