Texas > Local County > Harris
Fax Express Order Form (Civil And Criminal) - Texas
| Fax Express Order Form (Civil And Criminal) Form. This is a Texas form and can be used in Harris Local County . |
|
||||||
 Get this form for FREE as a print-only pdf |
|||||||
|
Fax Express Chris Daniel, Harris County District Clerk Customer Service Department Civil Fax Number 713-755-8980 To Be Completed By The Customer (Please Print or Type): Case Number: _____________________________________ Style: _________________________________________vs. _____________________________________ Need Copy of (Please Check): DECREE /JUDGMENT DATE OF DECREE/ JUDGMENT: ___________ NUMBER OF COPIES: _____ ORDER/ DATE OF ORDER: _______________ NUMBER OF COPIES: _______ OTHER: _______________________________________________________________ Copies should be: ( ) CERTIFIED or ( ) UNCERTIFIED Criminal Fax Number 713-368-3946 STYLE: STATE OF TEXAS vs. _____________________________ AKA _______________ DOB1: _____ Defendant SPN: _____________ Social Security Number:__________________ Case Number: _________________ CRT: ______ Case Number:____________ CRT:_____ If you do not know your case number or defendant's SPN, we will need the defendant's Dare of Birth and Social Security Number, for researching purposes. Please note a $5.00 researching fee supplies. ($5.00 for every 3 years prior to 1976) 1 JUDGMENT/SENTENCE INFORMATION/INDICTMENT/COMPLAINT (Charging instruments) OTHER:____________________________________________________________________________ BACKGROUND CHECK (Letter of Disposition) MANUAL RECORD SEARCH (Prior -1976) ____year Copies should be: ( ) CERTIFIED or ( ) UNCERTIFIED TYPE OF DELIVERY: ( ) Mail 2 ( ) Will Call Pick 3 (customer will be contacted ( ) Fax Express Return 4 CUSTOMER'S NAME (Please Print):_________________________________________________________ ADDRESS: _________________________ CUSTOMER'S PHONE NUMBER: _______________________ _________________________ CUSTOMER'S FAX NUMBER: __________________________ Applicable Postage and Handling fees will be charged 3 Will call customers will be contacted when request are completed. Will call orders must be picked up within 30 days of request completion. 4 Fax Express Return service applies to Uncertified Requests Only. I hereby authorize the Harris County District Clerk to charge my credit card for payment of the services requested above: CREIT CARD TYPE: _______________________________________________________________________________ CREDIT CARD NUMBER: _____________________________________ DATE OF EXPIRATION: _____________ NAME PRINTED ON CREDIT CARD: ________________________________________________________________ AUTHORIZED SIGNATURE: _______________________________________________________________________ CREDIT CARDHOLDER ADDRESS: _________________________________________________________________ CREDIT CARDGOLDER CONTACT NUMBER: ________________________________________________________ FOR DISTRICT CLERK'SOFFICE USE ONLY TRANSACTION NO: ____________________________ RECIEPT NO: ______________________ American LegalNet, Inc. www.FormsWorkFlow.com
|
|||||||
