ANNIE REBECCA ELLIOTT FORT BEND COUNTY DISTRICT CLERK Cause No: ACKNOWLEDGMENT BY PROPRIA PERSONA PARTY I am the (Plaintiff) (Defendant) (Petitioner) (Respondent) (circle appropriate party) in the above case. By my signature below, I acknowledge the following: I am aware that I can hire an attorney to represent me. I voluntarily choose to represent myself. I understand that I will receive no special favors, assistance, or advice from the Judge or Clerk as they cannot and do not represent either party in litigation. I understand that I will be expected to comply with all relevant rules of procedural, evidentiary and substantive law. I voluntarily wish to proceed without a lawyer and represent myself. PRINT Information Requested Below: Your Name Telephone Number (Home) Address Telephone Number (Work) City, State, Zip E-Mail Address ANOTHER PERSON WE MAY CONTACT: Name Telephone Number Address City, State, Zip Your Signature Today's Date Acknowledgment by Propria Persona Party Form101 American LegalNet, Inc. www.FormsWorkflow.com