Hays County, TX · Hays County
Statement for Permanent Age Exemption
This statement lets Hays County residents over age 75 claim a permanent jury-service exemption by filing their age-based exemption declaration with the District Clerk.
At a glance
- Issued by
- City of Hays County · Hays County, Hays County, Texas
- Notarization
- Not required: file this form without a notary.
- Official source
- hayscountytx.gov
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
Use this statement to claim a permanent exemption from jury service because you are over age 75. It asks for the applicant’s name, address, juror or voter registration number, birth date, and signature, and includes a declaration that the information is true and correct. File it with the clerk of the court to claim the permanent exemption.
Who needs it
Hays County residents over age 75 who want to claim a permanent exemption from jury service need this statement.
How to submit it
Submit the completed statement to the Hays County District Clerk at Hays County Government Center, 712 S. Stagecoach Trail, San Marcos, Texas 78666. The form lists (512) 393-7660.
About notarization
No notary is required; the statement says the applicant swears the information is true and correct and must sign and date it, but has no notary block.
How to submit this form
- 1
Download the Statement
Download the Statement for Permanent Age Exemption PDF.
- 2
Complete the Statement
Enter your name, address, juror or voter registration number, and birth date, then sign and date the statement.
- 3
Review Supporting Materials
The statement does not list any supporting attachments.
- 4
Submit to the District Clerk
Submit the completed statement to the Hays County District Clerk at the address shown on the form.
Frequently asked questions
- Do I need a notary for the Statement for Permanent Age Exemption?
- No. The statement has no notary block. It says the applicant swears the information is true and correct and must sign and date the form.
- Who can use this age exemption statement?
- The statement is for a person over age 75 who wants to claim a permanent exemption from jury service in Hays County.
- How do I submit the Statement for Permanent Age Exemption?
- Submit the completed statement to the Hays County District Clerk at Hays County Government Center, 712 S. Stagecoach Trail, San Marcos, Texas 78666.