Fisher County, TX · Fisher County
Statement for Permanent Age Exemption
Fisher County residents over age 75 use this statement to claim a permanent exemption from jury service.
At a glance
- Issued by
- City of Fisher County · Fisher County, Fisher County, Texas
- Notarization
- Not required: file this form without a notary.
- Official source
- fishercounty.org
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
This statement lets a Fisher County resident over age 75 claim a permanent exemption from jury service. The form asks for the applicant’s name, address, juror number, optional voter registration or VUID number, date of birth, and signature. The document says a signed statement may be filed with the court clerk and describes filing before the date summoned to appear.
Who needs it
A Fisher County resident over age 75 who wants to claim a permanent exemption from jury service may file this statement.
How to submit it
File the signed statement with the District Clerk at PO Box 88, Roby, TX 79543. The document also says a statement may be filed with the district or county clerk.
About notarization
This form has no notary block; it asks the applicant to swear the information is true and sign, with no notarized attachment identified.
How to submit this form
- 1
Download the Statement
Download the Fisher County Statement for Permanent Age Exemption.
- 2
Complete the Form
Enter the applicant’s name, address, date of birth, and other requested details, then sign the statement.
- 3
Check the Filing Information
The document names the District Clerk as a filing office and provides a mailing address.
- 4
Submit to the Clerk
File the signed statement with the District Clerk at PO Box 88, Roby, TX 79543.
Frequently asked questions
- Who can use the Statement for Permanent Age Exemption?
- A Fisher County resident over age 75 may use the statement to claim a permanent exemption from jury service. The form asks the applicant to provide identifying details, date of birth, and signature.
- Do I need a notary for the Statement for Permanent Age Exemption?
- No. The form has no notary block. It says the information is sworn to be true and asks the applicant to sign; it identifies no notarized attachment.
- How do I submit the Statement for Permanent Age Exemption?
- File the signed statement with the District Clerk at PO Box 88, Roby, TX 79543. The document also describes filing with the district or county clerk.