Telephone: (281) 341-4509 Fax: (281) 341-4519SEARCH REQUEST FORM Date: Re: Criminal and/or Civil Search Attention: Customer Service Please check your records for pending and disposed: Felony Criminal Cases Civil cases (includes divorce cases) The following years will be searched for the specified case type: Felony: 1982 226 Present Civil: 1991 226 Present Please add these years to the search requirement: Felony Criminal: Civil: NAME: (Please print) DOB:SS NO.: If the above named person has any criminal convictions within your jurisdiction, please list them giving date filed, offense and whether pending or disposed. If no criminal records are found, please state the fact that no felony cases are found. If the above named person has any civil judgments within your jurisdiction, please list them giving date filed, style, case type, date and type of judgment and whether pending or disposed. If no civil records are found, please state the fact that no civil cases were found. It is expressly understood by the undersigned that there is no guarantee of correctness and neither the District Clerk nor the Deputy Clerk doing the search shall be held liable for cases listed or omitted in error. Signature Title Name of Company Address City, State, Zip Telephone No. SEARCH FEE: $5.00 PER SEARCH For each Felony Criminal Name Search and each Civil Name Search Official Payments Payment Confirmation Number American LegalNet, Inc. www.FormsWorkFlow.com