This form can be used by attorneys ad litem appointed under Tex. R. Civ. P. 109 or 109a.
Include the following notice if a minor is named in the caption or if the statement of evidence contains other unredacted sensitive data. See § 6 of the Introduction in volume 1 of this manual concerning protection of sensitive data in filed documents. |
NOTICE: THIS DOCUMENT
CONTAINS SENSITIVE DATA
[Caption. See § 3 of the Introduction in volume 1 of this manual.]
Statement of Evidence
On [date] the Court heard this case.
Petitioner appeared in person and through attorney of record, [name]. [Name of party represented], Respondent, was cited by [publication/substituted service]. The undersigned attorney ad litem, a licensed attorney, was appointed by the Court to represent the interest of Respondent and entered a general denial.
The following unsuccessful attempts were made by the attorney ad litem to locate [name of party represented]: [describe dates and methods of attempts to locate the respondent].
Include the following paragraph if the respondent was served by publication. |
Respondent was served with citation by publication by the [[sheriff/constable] of [county] County, Texas/clerk of this Court] by having the citation published in [name of newspaper] on [date]. The citation was returned to the Court on [date].
Or |
Include the following paragraph if the respondent was served by substituted service. |
Respondent was served by substituted service by [describe in particular the manner in which service was accomplished]. The citation was returned to the Court on [date].
Continue with the following. |
The parties announced ready for trial. All witnesses were sworn, and the case proceeded. The following evidence was introduced:
Detail all elements of proof necessary to support all findings in the decree and to sustain all relief granted. |
The following exhibits were introduced, made a part of the record, and filed: [list exhibits introduced].
APPROVED on ______________________________.
JUDGE PRESIDING
I have read the foregoing and agree that it accurately represents the evidence introduced at the hearing described above.
[Name]
Attorney Ad Litem
State Bar No.:
[Email address]
[Address]
[Telephone]
[Fax]
[Name]
Attorney for Petitioner
State Bar No.:
[Email address]
[Address]
[Telephone]
[Fax]
Add signature lines for any other attorneys or parties to the suit. |