CAUSE NO. FOR THE USE AND BENEFIT OF:}{IN THE COUNTY COURT AT LAW{}NUMBER OF }{FORT BEND COUNTY, TEXASDEBTOR'S STATEMENT -SECTION 887GREETINGS:COMES NOW hereinafter called DEBTOR, whose address is and hereinafter tenders to the County Clerk of Fort Bend County, Texas in accordance with the Terms and Provisions of Section 887 Texas Probate Code, the sum of $, being not more that $100,000.00 as specified by statute, for the use and benefit of , whose address is , hereinafter called CREDITOR.DEBTOR states that CREDITOR is a resident of Fort Bend County, Texas; is without a legal guardian of his/her person or estate; and is a , date of birth .DEBTOR states that said sum of money above tendered is the amount due to CREDITOR on a liquidated and uncontested Claim against DEBTOR arising out of the following transaction:DEBTOR requests the DEBTOR be issued a Receipt of said Clerk for said sum of money so tendered herewith in accordance with the Terms and Provisions of Section 887 Texas Probate Code; and further that said CREDITOR be advised as required by law. WITNESS MY HAND ON day of , .DEBTORSUBSCRIBED AND SWORN TO BEFORE ME on day of , .Notary Public in and for the State of TexasAmerican LegalNet, Inc. www.USCourtForms.comDEBTOR'S STATEMENT -SECTION 887i:\PROBATE\FORMS\MINORFND\STATEMNT.DOCAmerican LegalNet, Inc. www.USCourtForms.com
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