AFFIDAVIT CONCERNING COST AND NECESSITY OF SERVICES
[Texas Civil Practices & Remedies Code, §§ 18.01 and 18.02]
[To be signed by person who provided the service]
Before me, the undersigned authority, personally appeared ________________________ (NAME OF AFFIANT), who, being by me duly sworn, deposed as follows:
My name is _____________________ (NAME OF AFFIANT). I am of sound mind and capable of making this affidavit.
On _________________ (DATE), I provided a service to _________________________ (NAME OF PERSON WHO RECEIVED SERVICE). An itemized statement of the service and the charge for the service is attached to this affidavit and is part of this affidavit.
The service I provided was necessary and the amount that I charged for the service was reasonable at the time and place that the service was provided.
SWORN TO AND SUBSCRIBED before me on the ____ day of __________, 20____, by _____________________.
NOTARY PUBLIC, STATE OF TEXAS