REQUEST FOR ISSUANCE OF WRIT DISTRICT CLERK, POTTER COUNTY, TEXAS (Instructions: complete this form, sign it, and MAIL it to: District Clerk, Potter County, P. O. Box 9570, Amarillo, TX 79105 CAUSE NUMBER: Date: Cause number must be provided Style of the Cause: I hereby request the District Clerk of Potter County to issue the following writ:_____________________________________in the above captioned cause and direct the Clerk to deliver the writ as follows for execution: (check the appropriate blank) Return the writ to the requestor. Forward the writ to the Potter County Sheriff for execution. I have enclosed (circle one): a LAW FIRM CHECK, CASHIER'S CHECK or MONEY ORDER (no personal checks accepted) in the amount of: $_______8.00 per writ $_______150.00 per writ for Potter County Sheriff Fees $_______TOTAL ENCLOSED ________________________________Signature of requestor _____________________________________________Address of requestor American LegalNet, Inc. www.FormsWorkFlow.com