Cause No(s). _____________________________

The State of Texas			§           IN THE _________________________ COURT 
					§	   
VS.           		                      	§	 ________________________________________						§	 	
____________________________   	§ 	 __________________ COUNTY, TEXAS

CERTIFICATE OF DISCOVERY

	I, _________________________________, a living    man without benefit of counsel, hereinafter known as the Accused, hereby certifies that on the ____ day of  __________________, 200__, the Accused served the prosecutor of the above court, the following written discovery:
1.	REQUEST FOR ADMISSIONS

Respectfully submitted,
_________________________________________		

CERTIFICATE OF SERVICE
I hereby certify that a true and correct copy of the forgoing has been delivered to the following party or counsel of record via certified mail, return receipt requested, hand delivery or fax on this ______  day of ________________________, 200__.
______________________________________
______________________________________
______________________________________

_________________________________

INSTRUCTIONS

This document is commonly sent because normally, you do not send a copy of the request for admissions to the court, only to the party that you are getting discovery from. If you find that they admit to items that are helpful to your cause, then you file another paper stating that you intend to use the answer to the request for admissions in trial. This is filed you know what the date was that you served the prosecutor with the Request for Admissions document.

Line 1: Where you put the cause numbers of the case.
Line 2: Put either ‘Municipal’, ‘Justice of the Peace’ or County.
Line 3: Put  either ‘In the City of (whatever City)”, “Precinct (whatever number)” or “(whatever county Court it is – like – At Law #11)
Line 4: Put your name in Upper and Lower Caps.
Line 5: Put whatever county the court is in – like – “Galveston”.
Line 6: Put your name in Upper and Lower Caps.
There is a space left for you to put “wo” in front of ‘man’ if need be.
Line 7: Put the numbered day of the Month that you serve a copy of the REQUEST FOR ADMISSIONS document to the prosecutor.
Line 8: Put the name of the Month that you serve a copy of the REQUEST FOR ADMISSIONS document to the prosecutor.
Line 9: Put the last number of the year that you serve a copy of the REQUEST FOR ADMISSIONS document to the prosecutor. – like - 2001 .
Line 10: Sign your name, below the line, print your name in Upper and Lower Caps then below that print your address.
Line 11: Put the numbered day of the Month that you serve a copy of this document to the prosecutor.
Line 12: Put the name of the Month that you serve a copy of this document to the prosecutor.
Line 13: Put the last number of the year that you serve a copy of this document to the prosecutor. – like - 2001 .
Line 14: Put “ Prosecutor for (Whatever Court)
Line 15: Put the street address where the prosecutor will be served.
Line 16: Put the City, State and Zipcode where the Prosecutor will be served.
Line 17: Sign your name, below the line, print your name in Upper and Lower Caps then below that print your address.

Original goes to the clerk of the court, one copy to the Prosecutor and one copy for you to keep and have stamped by the clerk. Be sure and NOT include the instruction sheets.