a notary public and must also conlplete` "Petitioner' s information '~' An inmate petitioner ~.rnust sign either the -"Oath Before a Notary Public" before a notary public or the "Inmate s Declaration" without a notary public and must also complete the appropriate "Petitioiier s lnt`orination "
~oAliH_'BEFoRE A,;Nofrhny PUBLK:§
'ST";ATE~ §)F TEXAS
COUNTYOE
-,_be_in_g duly sworn under oath says "l am .,the applicant / petitioner (circle one) in this action and know the contents: of the above
application for a writ of habeas corpus :and, according to nly helicjf, th`e: facts stated in the application are: tille. "
'Sign`atujre of Appii;¢jailr;j/ipa;iiii§n¢r (f'¢i':
sulB'st;i_§iBEn'.AND SWC)RN?TO'BEFORE MlE*THi_s; , , ._jl;)l:A'Y or _. , 4,`;,;0:
.._.__.,,
Signature;of Notary Public
Rev~; §O`~l:'/_I`¢U:]-:¢il
PETITIQNERSS"'iNFOHMAYTioN Patitioner~:*s:;printcd_"narnc:'~
`Stat;e barr namb¢r,iifapipl`i¢ahls':
Addrsl§; ,
Tclephone:-
INMATE'S DE€LARATlON
l,'~,:ljo_vc' are true ail&}lz¢p_rjrj¢q;_____
, !
sigaarura;a hapii¢anr" j.i>'éation¢rt(¢lé¢iéfone)"
lay <):i;/"il/il
PE-TITIONER?S lNFO`RMAFIT-IONF
'P¢ti,flonet'"s:print¢d nams;: z
Aicldtess;
raisphaiiie:
F,ax-: "
signed an _ _ 2a
;Si`_gflfl§afllt¢ Offl?ilivi.ii,btl¢,r
'R¢v__;-: 50 '1;/ `1.4/1-4~"