*1 Appellate Docket Number:

*2

*3 | Court: | $◻$ Court: | | :--: | :--: | | County: | County: | | Trial Court Docket Number (Cause no): | | | Trial Court Judge (who tried or disposed of the case): | | | First Name: | First Name: | | Middle Name: | Middle Name: | | Last Name: | Last Name: | | Suffix: | | | Address 1: | | | Address 2: | | | City: | City: | | State: | State: | | Telephone: | Telephone: | | Fax: | | | Email: | |

Clerk's Record: Trial Court Clerk: $◻$ District $◻$ County Was clerk's record requested? $◻$ Yes $◻$ No If yes, date requested: $◻$ If no, date it will be requested: $◻$ Were payment arrangements made with clerk? Yes $◻$ No $◻$ Indigent

Reporter's or Recorder's Record: Is there a reporter's record? $◻$ Yes $◻$ No Was reporter's record requested? $◻$ Yes $◻$ No Was the reporter's record electronically recorded? $◻$ Yes $◻$ No If yes, date requested: $◻$ Were payment arrangements made with the court reporter/court recorder? $◻$ Yes $◻$ No $◻$ Indigent

| $◻$ Court Reporter | $◻$ Court Recorder | | :-- | :-- | | $◻$ Official | $◻$ Substitute |

| First Name: | First Name: | | :-- | :-- | | Middle Name: | Middle Name: | | Last Name: | Last Name: | | Suffix: | | | Address 1: | | | Address 2: | | | City: | | | State: | State: | | Telephone: | Telephone: | | Fax: | | | Email: | |

*4

List any pending or past related appeals before this or any other Texas appellate court by court, docket number, and style. Docket Number: $◻$ Court: Style: Vs.

Signatura

Signature of counsel (or Pro Se Party) Date: State Bar No: Printed Name: State Bar No: Electronic Signature: $◻$ Name: $◻$ (Optional) Name:

VII. Certificate of Service

The undersigned counsel certifies that this docketing statement has been served on the following lead counsel for all parties to the trial court's order or judgment as follows on $◻$

Signature of counsel (or pro se party) Electronic Signature: $◻$ (Optional) State Bar No.: $◻$ Person Served: Certificate of Service Requirements (TRAP 9.5(e)): A certificate of service must be signed by the person who made the service and must state: (1) the date and manner of service; (2) the name and address of each person served, and (3) if the person served is a party's attorney, the name of the party represented by that attorney

*5 Please enter the following for each person served:

| Date Served: | | | :-- | :-- | | Manner Served: | | | First Name: | | | Middle Name: | | | Last Name: | | | Suffix: | | | Law Firm Name: | | | Address 1: | | | Address 2: | | | City: | | | State | | | Telephone: | | | Fax: | | | Email: | |

*6

IN THE 336TH DISTRICT COURT FANNIN COUNTY, TEXAS

NOTICE OF AGREED COURT DOCKET SETTING