5 3 ii-aw f^n, !„/
United States District Court
Western District of Texas 2116 AUG 26 AHI|: 3k
Austin Division
CLERK US-DlSTRI :
WESTERN 0!SJ|£fOf fXiS
BY
D^PQTt
ORDER
IT IS HEREBY ORDERED that the party or parties removing a case to the
United States District Court for the Western District of Texas, Austin Division, shall file an
original and one copy of the "Supplement to JS 44 Civil Cover Sheet, to be Used When Filing a
Removal." a copy of which is attached.
SIGNED and ENTERED \ XJ07J( day of August. 2016.
SAM SPARKS
UNITED STATES DISTRICTJUDGE
YEAKEL
,'ITED STATES DISTRICTJUDGE
<^C^6YWl
ROBERT PITMAN
UNITED STATES DISTRICTJUDGE
IN THE UNITED STATES DISTRICT COURT
FOR THE WESTERN DISTRICT OF TEXAS
AUSTIN 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).
TXWD - Supplement to JS 44 (Rev. 10/2004)
2. List all parties that have not been served at the time of the removal, and the reason(s) for
non-service.
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
TXWD - Supplement to JS 44 (Rev. 10/2004)
