Litigation Forms

[Rule 902(10) of the Texas Rules of Civil Procedure]

Before me, the undersigned authority, personally appeared _________, who, being by me duly sworn, deposed as follows:

My name is _________, I am of sound mind, capable of making this affidavit, and personally acquainted with the facts herein stated:

I am the custodian of the records of _________. Attached hereto are ______ pages of records from _________. These said ______ pages of records are kept by _________ in the regular course of business, and it was the regular course of business of _________ for an employee or representative of _________, with knowledge of the act, event, condition, opinion, or diagnosis, recorded to make the record or to transmit information thereof to be included in such record; and the record was made at or near the time or reasonably soon thereafter. The records attached hereto are the original or exact duplicates of the original.

___________________ [Affiant]

SWORN TO AND SUBSCRIBED before me on the ____ day of __________, 20____, by _____________________.

NOTE:This form and related information is an aid for attorneys only to be used in conjunction with their own independent research and analysis, and is not to be interpreted as creating an attorney-client relationship with any person or giving legal advice to the public.

Litigation Forms