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Chapter 13

Form 13-3

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.:
[E-mail address]
[Address]
[Telephone]
[Fax]

 

   
[Name]
Attorney for Petitioner
State Bar No.:
[E-mail address]
[Address]
[Telephone]
[Fax]

Add signature lines for any other attorneys or parties to the suit.