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Juror Exemption Application
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The following persons, by statute, and no others, may claim an exemption from jury service if the person wishes to do to. If you have a legal exemption, which you desire to claim, select the appropriate statement.
I am over 70 years of age, and I desire to be excused from service at this time.
I am over 70 years of age, and I desire to have a permanent exemption from jury service.
I have legal custody of a child or children under the age of 15 years, and if I serve on the jury it will necessitate leaving such child or children without adequate supervision.
I am a student of a public or private secondary school.
I am the primary caretaker of person who is unable to take care of himself/ herself.
I am not a citizen of the United States.
I wish to reschedule ONE time.
I no longer live in Flower Mound. See current address listed above.
If you are seeking a student exemption, list the school you are attending.
Under Penalty of Perjury, I certify the above is true and correct. (A signature is acquired by typing your name above).*
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