Tom Green County, TX · Tom Green County
Statement for Permanent Age Exemption
Tom Green County residents over age 75 use this statement to claim a permanent exemption from jury service.
At a glance
- Issued by
- City of Tom Green County · Tom Green County, Tom Green County, Texas
- Notarization
- Not required: file this form without a notary.
- Official source
- tomgreencountytx.gov
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
This statement lets a Tom Green County resident over age 75 claim a permanent exemption from jury service. It asks for juror and identification details, an address, date of birth, and a signed statement that the information is true and correct. The document says to file the statement with the District Clerk and include a declaration seeking a permanent exemption.
Who needs it
A Tom Green County resident over age 75 who wants to claim a permanent exemption from jury service needs this statement.
How to submit it
File the statement with the District Clerk, Vicki Vines, at 112 W Beauregard, San Angelo, TX 76903.
About notarization
This document is signed without a notary; the signer swears that the information is true and correct, then signs and dates the statement.
How to submit this form
- 1
Download the Statement
Download the Statement for Permanent Age Exemption.
- 2
Complete the Statement
Enter your name, juror or identification details, address, birth date, and the date you sign.
- 3
Review and Sign
Confirm the information is true and correct, then sign and date the statement.
- 4
File With the District Clerk
File the statement with the District Clerk at 112 W Beauregard, San Angelo, TX 76903.
Frequently asked questions
- What is the Statement for Permanent Age Exemption?
- It lets a Tom Green County resident over age 75 claim a permanent exemption from jury service by submitting a signed statement to the District Clerk.
- Who can use this form?
- The form is for a Tom Green County resident over age 75 who wants to claim a permanent exemption from jury service.
- Do I need a notary for the Statement for Permanent Age Exemption?
- No. The document has no notary block. The signer swears the information is true and correct, then signs and dates the statement.
- How do I submit the Statement for Permanent Age Exemption?
- File it with District Clerk Vicki Vines at 112 W Beauregard, San Angelo, TX 76903.