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Fill and Sign the Civil Intake Fax Number 713 755 5480 Form

Fill and Sign the Civil Intake Fax Number 713 755 5480 Form

How it works

Open the document and fill out all its fields.
Apply your legally-binding eSignature.
Save and invite other recipients to sign it.

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S:\FormsLib \Civil Bureau \Civ Fam Intake & Customer Svc \Civintake \Fax Filing Authorization Form Revised 10/1/99 Charles Bacarisse Harris County District Clerk Civil Bureau Fax Filing Authorization Form Civil Intake Fax Number (713) 755 -5480 Family Intake Fax Number (713) 755 -5754 To Be Completed By The Customer ( Please Print ): CAUS E NUMBER: __________________________________ STYLE: __________________________________________ VS. ____________________________________________ CUSTOMER'S NAME (Please Print): _______________________________________________________________________ ATTORNEY BAR NUMBER: ____________________________ LAW FIRM I.D. NUMBER: ________________________ ADDRESS: ___________________________________________________________________________________________ ATTORNEY’S PHONE NO. ____________________________ ATTORNEY’S FAX NO. __________________________ ATTORNEY’S EMAIL ADDRESS: ________________________________________________________________________ I hereby authorize the District Cle rk to charge to my credit card for payment of the services requested above: CREDIT CARD TYPE: __________________________________________________________________________ CREDIT CARD NUMBER: ________________________________ DATE OF EXPIRATION: _______________ AUTHORIZED SIGNATURE: ____________________________________________________________________

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The best way to complete and sign your civil intake fax number 713 755 5480 form

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