State Of Texas
In the District Court for the Municilple Courtth Judicial District

CREDITOR NAME HERE		|
Plaintiff					|
						|	Case No.   COURT CASE # HERE
-vs-						|		
____________________________________|_______________________________________
JOHN HENRY DOE			|
						|	
pro per						|
____________________________________|________________________________________
                            
NOTICE OF LIS PENDENS

John Henry Doe
123 Main Street
Anytown, Texas 12345

    Notice is given that an action has been commenced, and is now pending, in the above-named court, on a complaint filed by Plaintiff against Defendant for the purpose of obtaining the release of a lien on certain property located in  County, Texas as is more fully described on the attached sheet (exhibit “A”) and to obtain a judgment against the defendant(s) to release the lien and that the lands to be affected by this action are located in  County, Texas, and are described as follows:

  Situated in the Township ________, County of , State of Texas: Complete description of land as shown on plat map and records office in deeds office.

Dated: November 13, 2003.                               

_________________________________________                              
John Henry Doe, for plaintiffs
123 Main Street
Anytown, Texas 12345
Before me, the undersigned, a Notary Public in [ County ] County, Texas on this _________ day of __________, 200__ personally appeared John Henry Doe to me known to be the identical person who executed the within and foregoing instrument and acknowledged to me that he executed this affidavit of his own free will.

___________________________			Notary Seal:                         
Notary Public