CAUSE NO. ________________________ XXXXXXX Plaintiff V. YYYYYYYYYYY Defendant § § § § § § § § § § IN THE DISTRICT COURT OF ________ COUNTY, TEXAS _______JUDICIAL DISTRICT WAIVER OF CITATION AND SERVICE OF SUMMONS STATE OF TEXAS COUNTY OF XXX § § § BEFORE ME, the undersigned Notary Public, on this day personally appeared ____________, who upon being duly sworn stated as follows: My name is __________, and I am a pro se defendant in the above-entitled and numbered cause. I have received and hereby accept service of Plaintiff's Original Petition filed on____________, 2017 in the above-captioned matter. I understand that the Rules of Civil Procedure of Texas require, in most cases, that a party or the respondent be served with citation. I do not want to be served with citation, and I hereby expressly waive the issuance, service, and return of citation and summons in the above-captioned matter. __________________________________________ Name Subscribed and sworn to before me on this ____ day of ________, 2017, to certify which witness my hand and official seal. __________________________________________ Notary Public in and for the State of Texas American LegalNet, Inc. www.FormsWorkFlow.com