IN THE UNITED STATES DISTRICT COURT 

FOR THE WESTERN DISTRICT OF TEXAS 

DIVISION 

Supplement to JS 44 Civil Cover Sheet 

Cases Removed from State District Court 

This form must be filed with the Clerk's Office no later than the first business day 

following the filing of the Notice of Removal. Additional sheets may be used as necessary. 

The attorney of record for the removing party MUST sign this form. 

STATE COURT INFORMATION: 

1. Please identify the court from which the case is being removed; the case number; and the 

complete style of the case. 

2. Was jury demand made in State Court? Yes No 

If yes, by which party and on what date? 

Party Name Date 

STATE COURT INFORMATION: 

1. List all plaintiffs, defendants, and intervenors still remaining in the case. Also, please list the 

attorney(s) of record for each party named and include the attorney's firm name, correct mailing address, 

telephone number, and fax number (including area codes). 

2. List all parties that have not been served at the time of the removal, and the reason(s) for non-service. 

TXWD TXWD - Supplement to JS 44 (Rev. 9/2019) - Supplement to JS 44 (Rev. 9/2019) Page Page 1 1

IN THE UNITED STATES DISTRICT COURT

FOR THE WESTERN DISTRICT OF TEXAS

 DIVISION

Supplement to JS 44 Civil Cover Sheet

Cases Removed from State District Court

This form must be filed with the Clerk's Office no later than the first businessday 

following the filing of the Notice of Removal. Additional sheets may be used as necessary.

The attorney of record for the removing party MUST sign this form.

STATE COURT INFORMATION:

1. Please identify the court from which the case is being removed; the case number; and the 

complete style of the case.

2. Was jury demand made in State Court? Yes No

If yes, by which party and on what date?

Party Name Date

STATE COURT INFORMATION:

1. List all plaintiffs, defendants, and intervenors still remaining in the case. Also, please list the 

attorney(s) of record for each party named and include the attorney's firm name, correct mailing address, 

telephone number, and fax number (including area codes).

2. List all parties that have not been served at the time of the removal, and the reason(s) for non-service.

Case 5:20-cv-00712 Document 1-2 Filed 06/18/20 Page 1 of 3
3. List all parties that have been non-suited, dismissed, or terminated, and the reason(s) for their 

removal from the case. 

COUNTERCLAIMS, CROSS-CLAIMS, and/or THIRD-PARTY CLAIMS: 

1. List separately each counterclaim, cross-claim, or third-party claim still remaining in the case and 

designate the nature of each such claim. For each counterclaim, cross-claim, or third-party claim, include 

all plaintiffs, defendants, and intervenors still remaining in the case. Also, please list the attorney(s) of 

record for each party named and include the attorney's firm name, correct mailing address, telephone 

number, and fax number (including area codes). 

VERIFICATION: 

Attorney for Removing Party Date 

Party/Parties 

(NOTE: Additional comment space is available on page 3) 

TXWD TXWD - Supplement to JS 44 (Rev. 9/2019) - Supplement to JS 44 (Rev. 9/2019) Page Page 2 2

3. List all parties that have been non-suited, dismissed, or terminated, and the reason(s) for their 

removal from the case.

COUNTERCLAIMS, CROSS-CLAIMS, and/or THIRD-PARTY CLAIMS:

1. List separately each counterclaim, cross-claim, or third-party claim still remaining in the case and 

designate the nature of each such claim. For each counterclaim, cross-claim, or third-party claim, include 

all plaintiffs, defendants, and intervenors still remaining in the case. Also, please list the attorney(s) of 

record for each party named and include the attorney's firm name, correct mailing address, telephone 

number, and fax number (including area codes).

VERIFICATION:

Attorney for Removing Party Date

Party/Parties

(NOTE: Additional comment space is available on page 3)

Case 5:20-cv-00712 Document 1-2 Filed 06/18/20 Page 2 of 3
ADDITIONAL COMMENTS (As necessary): 

TXWD TXWD - Supplement to JS 44 (Rev. 9/2019) - Supplement to JS 44 (Rev. 9/2019) Page Page 3 3

ADDITIONAL COMMENTS (As necessary):

Case 5:20-cv-00712 Document 1-2 Filed 06/18/20 Page 3 of 3