CIVIL CASE INFORMATION SHEET CAUSE NUMBER (FOR CLERK USE ONLY):_________________________________ COURT:_____________ A civil case information sheet must be completed and submitted when an original petition or application is filed to initiate a new civil, family law, probate, or mental health case or when a post-judgment motion for modification or enforcement is filed in a family law case. The information should be the best available at the time of filing. This sheet, approved by the Texas Judicial Council, is intended to collect information that will be used for statistical purposes only. It neither replaced nor supplements the filing or service of pleading or other documents as required by law or rule. The sheet does not constitute a discovery request, response, or supplementation, and it is not admissible at trial. 1. Contact information for person completing case information sheet: Name of parties in case: Name: Email Plaintiff(s)/Petitioner(s) ____________________________________________________________________________________________ Address: Telephone: ____________________________________________________________________________________________ City/State/Zip: Fax: Defendant(s)/Respondent(s) ____________________________________________________________________________________________ Signature State Bar No: ____________________________________________________________________________________________ Person or entity completing sheet is: 9 Attorney for Plaintiff/Petitioner 9 Pro Se Plaintiff/Petitioner 9 Title IV-D Agency 9 Other 2. Indicate case type, or identify the most important issue in the case (select only 1) Civil Contract Debt/ Contract 9 Consumer/DTPA 9 Debt/Contract 9 Fraud/ Misrepresentation 9 Other Debt/ Contract: ________________ Foreclosure 9 Home EquityExpedited 9 Other Foreclosure 9 Franchise 9 Insurance 9 Landlord/Tenant 9 Non-Competition 9 Partnership 9 Other Contract Injury or Damage 9 Assault/Battery 9 Construction 9 Defamation 9 Motor Vehicle Accident 9 Premises 9 Other Injury or Damage: ________________ Malpractice 9Accounting 9 Legal 9 Medical 9 Other Professional Liability: ________________ Product Liability 9 Asbestos/Silica 9 Other Product Liability ________________ M arriage Relationship 9 Annulment 9 Declare Marriage Void 9 Divorce with Children 9 Divorce w/out Children Real Prop. 9 Eminent Domain/ Condemnation 9 Partition 9 Quiet Title 9 Trespass to Try Title 9 Other Property: ________________ Other Civil Employment 9 Administrative 9 Discrimination 9 Retaliation 9 Termination 9 W orkers’ Appeal 9 Anittrust/Unfair Competition Compensation 9 Other Employment: ________________ Tax 9 Tax Appraisal 9 Tax Delinquency 9 Other Tax Family Law Other Family Law 9 Enforce Foreign Judgment 9 Habeas Corpus 9 Name Change 9 Protective Order 9 Removal Of Disabilities 9 Other: ____________________ Related to Criminal M atters 9 Expunction 9 Judgment Nisi 9 Non-Disclosure 9 9 Code Violations 9 Foreign Judgment 9 Intellectual Property 9 Lawyer Discipline 9 Perpetuate Testimony 9 Securities/Stock 9 Tortious Interference 9 Other: ________________ Seizure/Forfeiture 9 W rit of Habeas CorpusPre-indictment 9 Civil Commitment Parent Child Relationship 9 Adopt. w/Termination 9 Child Protection 9 Child Support 9 Custody or Visitation 9 Gestational Parenting 9 Paternity/Parentage 9 Termination of Parental Rights 9 Other Parent-Child Post-Judgment Action (non-Title IV-D) 9 Enforcement 9 Modification-Custody 9 Modification-Other Title IV-D 9 Enforcement/ Modification 9 Paternity 9 Reciprocals (UIFSA) 9 Support Order 3. Indicate procedure or remedy, if applicable (may select more than 1) 9 Appeal from Municipal or Justice Court 9 Declaratory Judgment 9 Prejudgment Remedy 9 Arbitration- related 9 Garnishment 9 Protective Order 9 Attachment 9 Interpleader 9 Receiver 9 Bill of Review 9 Licenses 9 Sequestration 9 Certiorari 9 Mandamus 9 Temporary Restraining order/Injunction 9 Class Action 9 Post-Judgment 9 Turnover American LegalNet, Inc. www.FormsWorkFlow.com BARBARA GLADDEN ADAMICK MONTGOMERY COUNTY DISTRICT CLERK P.O 2985 CONROE, TX 77305 CASE INFORMATION FILING SHEET CIVIL AND FAMILY A civil case information sheet must be completed and submitted when an original petition or application is filed to initiate a new civil, family law, probate, or mental health case or when a post-judgment motion for modification or enforcement is filed in a family law case. The information should be the best available at the time of filing. This sheet, approved by the Texas Judicial Council, is intended to collect information that will be used for statistical purposes only. It neither replaced nor supplements the filing or service of pleading or other documents as required by law or rule. The sheet does not constitute a discovery request, response, or supplementation, and it is not admissible at trial 1. Select type of action: ________________________ F - Family D - Divorce C1 - cause under $100,000.00 ** If this is a C1 Case not exceeding $100,000.00, is there an injunction, foreclosure of lien on real property, trespass to try title, or return of property requested, if “YES”, then this case must be filed as “C” C - cause over $100,000.00 2. Has case ever had a previous filing in Montgomery County ________________________ 3. Does any Court have continuing jurisdiction of this case? ________________________ 4. If yes, Court of continuing jurisdiction ________________________ 5. Cause number of previous case retaining jurisdiction: ________________________ 6. Level of Discovery (see TRCP 190) please circle one: Level 1 7. Level 2 Level 3 MANDATORY Reverse side MUST be completed per the Texas Judicial Council and Office of Court Administration. Rules of Civil Procedure 78.A American LegalNet, Inc. www.FormsWorkFlow.com