What is the Statement for Permanent Age Exemption?

It is a statement for Frio County residents over age 75 to declare that they want a permanent exemption from jury service.

Who can use this statement?

The form is for an applicant who is over age 75 and wishes to claim a permanent exemption from jury service in Frio County.

Do I need a notary for the Statement for Permanent Age Exemption?

No. The form has no notary block and is signed without a notary; it does include the applicant’s sworn declaration.

Frio County, TX · Frio County

No notary required

Statement for Permanent Age Exemption

This statement lets Frio County residents over age 75 request a permanent exemption from jury service by filing a signed declaration with the District Clerk.

At a glance

Issued by: City of Frio County · Frio County, Frio County, Texas
Notarization: Not required: file this form without a notary.
Official source: co.frio.tx.us
Blank form: Download the PDF
Catalogued: Oct 5, 2026
Machine-readable: JSON record · about the forms index

What this form is

Residents over age 75 can use this statement to claim a permanent exemption from jury service. The form asks for the applicant’s name, juror number, address, birth date, and signature; voter registration or voter identification details are optional. File the signed statement with the District Clerk to declare that you want the permanent age exemption.

Who needs it

Frio County residents over age 75 who want to claim a permanent exemption from jury service need this statement.

How to submit it

File the signed statement with the Frio County District Clerk at 500 E. San Antonio St., Box 8, Pearsall, Texas 78061.

About notarization

This statement is signed without a notary; it includes the applicant’s sworn declaration, but the form provides no notary block or notarized attachment.

How to submit this form

1
Download the Statement
Download the Statement for Permanent Age Exemption PDF.
2
Complete the Form
Enter your name, juror number, address, and birth date, then sign and date the statement. Voter registration or VUID details are optional.
3
Gather Attachments
The form does not list any required attachments.
4
Submit to the District Clerk
File the signed statement with the Frio County District Clerk at 500 E. San Antonio St., Box 8, Pearsall, Texas 78061.

Frequently asked questions

What is the Statement for Permanent Age Exemption?: It is a statement for Frio County residents over age 75 to declare that they want a permanent exemption from jury service.
Who can use this statement?: The form is for an applicant who is over age 75 and wishes to claim a permanent exemption from jury service in Frio County.
Do I need a notary for the Statement for Permanent Age Exemption?: No. The form has no notary block and is signed without a notary; it does include the applicant’s sworn declaration.
How do I submit the Statement for Permanent Age Exemption?: File the signed statement with the Frio County District Clerk at 500 E. San Antonio St., Box 8, Pearsall, Texas 78061.

Need something notarized?

This Statement for Permanent Age Exemption doesn’t need a notary, but Texas residents can notarize other documents online with a commissioned online notary.