Free Will Call/Mail Order Copies Request - Texas

WILL CALL ORDER FORM FOR COPIES NO PERSONAL CHECKS ACCEPTED $1.00 PER PAGE FOR ALL COPIES
ATM available at 1201 Franklin, 1st Floor

TO BE COMPLETED BY THE CUSTOMER (PLEASE PRINT): CAUSE NUMBER: ________________________________ STYLE: __________________________________________ VS. __________________________________________________ SPECIFY: CERTIFIED PICK UP NEED COPY OF (PLEASE CHECK): DECREE/JUDGMENT ORDER(S)/ DATE SIGNED: ___________________________ NUMBER OF COPIES ____________________ NUMBER OF COPIES ____________________ or or UNCERTIFIED MAIL (PLEASE PROVIDE SELF-ADDRESSED, STAMPED ENVELOPE)
(POSTAGE CAN BE CHARGED TO YOUR CREDIT CARD OR PAID IN CASH)

OTHER, PLEASE SPECIFY: ___________________________ ________________________________________________________ ________________________________________________________ NUMBER OF COPIES ____________________ NUMBER OF COPIES ____________________

IF TENDERING CASH, PLEASE INDICATE THE PAYOR'S NAME YOU WISH RECEIPT TO BE MADE OUT TO: ____________________________________________________________________________________________________________ CUSTOMER'S NAME (Please Print): ___________________________________________________________________________ ATTORNEY'S BAR NO. _______________________ LAW FIRM'S I.D. NO: ________________________________________ ADDRESS: _________________________________________________________________________________________________ PHONE NUMBER: (______) ________________________ CELLULAR PHONE: (_______) _________________________ PAGER NUMBER: (_______) _______________________ Indicate Form of Payment: CASH: _________________________________
Amount Given To Clerk

CREDIT CARD: _________________________
Credit Card Type

Credit Card Expiration: ________________

MONEY ORDER/CASHIER'S CHECK Type: _____________

Number: ____________________________

NOTICE: 1. Advance payment of copies is required prior to copies being made. 2. Orders over hundred pages might require more than 24 hours to complete. 3. There is a $5.00 search fee when the cause number is not provided.
When requesting certified copies by mail, return this completed request form with payment to: LOREN JACKSON, HARRIS COUNTY DISTRICT CLERK PO BOX 4651 201 Caroline, Room 105 HOUSTON, TEXAS 77210-4651 ATTENTION: CORRESPONDENCE
FOR DISTRICT CLERK'S USE ONLY NUMBER OF COPIES: ______________________________________________________ NUMBER OF PAGES PER COPY: ___________________________ VOLUME and PAGE: _______________________________________________________ Or ROLL AND FRAME : ___________________________________ LOCATION OF FILE: _______________________________________________________ ORDER TAKEN BY: ______________________________________ TOTAL NUMBER OF PAGES: ________________________________________________ TRANSACTION NUMBER: _________________________________ NUMBER OF PAGES VERIFIED BY: __________________________________________ RECEIPT NUMBER: ______________________________________ SPECIAL INSTRUCTIONS: ____________________________________________________________________________________________________________
Revised 8/21/07