Texas > Local County > Hays
Affidavit Of Exemption - Texas
| Affidavit Of Exemption Form. This is a Texas form and can be used in Hays Local County . |
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IN THE DISTRICT COURT Regarding Application For Permanent Exemption From Jury Service § § § § STATE OF TEXAS COUNTY OF HAYS AFFIDAVIT OF EXEMPTION My name is My voter registration number is and I am a resident of Hays County, Texas. . I wish to claim a permanent exemption from jury service in accordance with the laws of the State of Texas. I wish to claim this exemption because: I am over seventy (70) years of age I have a permanent medical condition (must be accompanied by letter from your doctor). I swear that the above information is true and correct. SIGNED this day of , 20 . Signature of Applicant SUBSCRIBED and SWORN to before me this day of , 20 . COURT CLERK OR Notary Public In And For The STATE OF TEXAS MY COMMISSION EXPIRES (seal) PRINTED NAME OF NOTARY FOR COURT USE Date deleted from computer Computer Operator Juror I.D.# American LegalNet, Inc. www.FormsWorkflow.com
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