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Petition for Review Form
The following is a template for use in preparing a petition for review to be filed with the Supreme Court of Texas. Please refer to the document “Preparing a Pro Se Petition for Review: Instructions for using Template” to help you in completing the following form. You may complete this form with information about your particular case.
You may use a total of fifteen pages to complete the “Statement of Facts, Summary of the Argument, Argument, and Prayer for Relief” sections of the petition. This form sets each of these sections out on separate pages. Please use additional sheets as necessary.
No.__________________
In the
Supreme Court of Texas
___________________________________________________,
Petitioner,
v.
___________________________________________________,
Respondent.
From the _______ Court of Appeals, Cause No.__________________,
and the _________________ Court for ___________________ County,
Cause No. __________________, Honorable __________________________
Petition for Review
Petitioner’s Name:
Petitioner’s Address:
Petitioner’s Telephone:
Petitioner’s Fax:
Petitioner’s e-mail:
IDENTITY OF PARTIES AND COUNSEL
The following constitutes a list of all parties to the trial court's final judgment and the names and addresses of all trial and appellate counsel:
|Petitioner’s name | |
|Petitioner's trial counsel’s name, address, | |
|telephone and fax (if applicable) | |
| | |
| | |
| | |
| | |
|Petitioner's appellate counsel’s name, | |
|address, telephone and fax (if applicable) | |
| | |
| | |
| | |
| | |
| | |
|Respondent’s name | |
|Respondent's trial counsel’s name, address, | |
|telephone and fax (if applicable) | |
| | |
| | |
| | |
| | |
|Respondent's appellate counsel’s name, | |
|address, telephone and fax (if applicable) | |
| | |
| | |
| | |
| | |
(use additional pages if necessary)
Page i
IDENTITY OF PARTIES AND COUNSEL
(contined)
|Other parties’ names, addresses, | |
|telephone and fax (if applicable) | |
| | |
| | |
| | |
| | |
|Counsel for other parties’ names, | |
|addresses, telephone and fax (if | |
|applicable) | |
| | |
| | |
| | |
| |(use additional pages if necessary) |
TABLE OF CONTENTS
Page
IDENTITY OF PARTIES AND COUNSEL ___
INDEX OF AUTHORITIES ___
STATEMENT OF THE CASE ___
STATEMENT OF JURISDICTION ___
ISSUES PRESENTED ___
STATEMENT OF FACTS ___
SUMMARY OF THE ARGUMENT ___
ARGUMENT AND AUTHORITIES ___
PRAYER FOR RELIEF ___
APPENDIX ___
Page ii
INDEX OF AUTHORITIES
Cases, statutes and other authorities Page
(use additional pages if necessary)
Page iii
STATEMENT OF THE CASE
Nature of the Case
Trial Court Information
Trial Court Judge:
Trial court name/number:
Trial court county:
Trial court ruling:
Court of Appeals Information
Parties in the Court of Appeals
All Appellants:
All Appellees:
Other parties:
Information about the Court of Appeals
Court of Appeals Number:
Justices deciding appeal:
Author of court’s opinion:
Author of any separate opinion:
Citation of opinion, if published:
Ruling of Court of Appeals:
Motions for Rehearing
Was a motion for rehearing filed?
If filed, how did Court rule?
Was a motion for reconsideration en banc filed?
If filed, how did Court rule?
(use additional sheets if necessary)
Page iv
STATEMENT OF JURISDICTION
The Supreme Court has jurisdiction pursuant to the following subsection(s) of Texas Government Code section 22.001(a): (circle the subsection(s) that apply):
|(1) (disagreement among justices of court of |(2) (conflict between holding of court of |(3) (construction or validity of a statute) |
|appeals on question of law material to |appeals and another court on question of | |
|decision) |law) | |
|(4) (a matter involving state revenue) |(5) (a case in which the railroad |(6) (an error of law has been committed of |
| |commission is a party) |importance to the jurisprudence of the state) |
ISSUES PRESENTED
(use additional sheets as necessary)
Page iv
STATEMENT OF FACTS
(use additional sheets as necessary)
Page 1
SUMMARY OF THE ARGUMENT
(use additional sheets as necessary)
Page 2
ARGUMENT AND AUTHORITIES
(use additional sheets as necessary)
Page 3
PRAYER FOR RELIEF
(use additional sheets as necessary)
Page 4
Respectfully submitted,
Signature of pro se party
CERTIFICATE OF SERVICE
I certify that a copy of this Petition for Review was served on Respondent ______________ by U.S. Mail on the following date: _________.
Signature of pro se party
APPENDIX
TAB
1 Judgment or order challenged on appeal
2 Opinion of Court of Appeals
3. Judgment of Court of Appeals
................
................
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