ACCEPTED
05-15-01516-CV
FIFTH COURT OF APPEALS
DALLAS, TEXAS
12/17/2015 1:54:29 PM
LISA MATZ
CLERK
FIFTH COURT OF APPEALS
CIVIL APPEAL MEDIATION DOCKETING STATEMENT
FILED IN
RETURN WITHIN 15 DAYS TO: 5th COURT OF APPEALS
DALLAS, TEXAS
CLERK, FIFTH COURT OF APPEALS; 12/17/2015 1:54:29 PM
600 COMMERCE STREET, SUITE 200, DALLAS, TEXAS 75202-4658
LISA MATZ
Clerk
I. General Information:
Appellant(s): Appellate Cause No.:
JOHN PATMAN 05-15-01516-CV
Trial Ct. Cause No.:
Appellee(s): CC-14-01094-B
STATE FARM LLOYDS County:
DALLAS
Other: Trial Court:
COUNTY COURT 2
II. Timetable:
Appeal stayed by bankruptcy. Date bankruptcy filed: NOT APPLICABLE
List: name of bankruptcy court: NOT APPLICABLE
bankruptcy case number: NOT APPLICABLE
style of bankruptcy filing: NOT APPLICABLE
III. Jurisdiction:
Will you challenge this court’s
jurisdiction? No X Yes
IV. Indigency Of Party (TRAP 32.1(k)): (Attach file-stamped copy of affidavit)
Event Date N/A
Filed
Check as appropriate
Affidavit filed No X Yes
Contest filed No X Yes
Date ruling on contest due:
Ruling on contest:
Sustained Overruled
VI. Alternative Dispute Resolution/Mediation (if applicable)
Instructions: This information will be used in conjunction with the Rule 32.1 docketing statement to evaluate
your case for possible referral to an alternative dispute resolution procedure. See TEX. R. APP. P. 32.1. The court
will not consider your answers if the case is submitted on the merits. Each party (except where noted) must
complete and file a completed docketing form in the Court of Appeals after the appeal is perfected.
Check Y for yes or N for no. Fill in all blanks or check appropriate boxes.
1. Should this case be referred to mediation? Yes X No (use additional sheets if necessary)
If no, why?
(The court makes the final decision regarding referral of a case to mediation)
2. Has this case been through an ADR procedure in the trial court? Yes No X
If you answered yes:
a. Who was the mediator?
b. What type of ADR procedure?
c. At what stage did the case go through ADR?
pre-trial trial post-trial other _______________
3. Rate the case for complexity. Use 1 for the least complex and 5 for the most complex. Check one:
1 2 X 3 4 5
VII. Signature:
Rogelio Garcia/S/ Date: 12/17/2015
Signature of counsel (or pro se party) State Bar No.:07645800
Printed Name: ROGELIO GARCIA
Address: 1317 TELEPHONE ROAD, HOUSTON, TEXAS 77023
Email Address: UTLAW82@GMAIL.COM
Telephone Number: 713-926-8800
Facsimile Number: 713-926-7700
Representing: APPELLANT