Age Affidavit Exemption - fultoncourt.org

Age Affidavit Exemption Juror Name (Print Name) _____ Candidate ID: _____ Service Date: _____ I, _____, do hereby request the Board of Jury Commissioners to permanently remove my name from the list of eligible trial and grand jurors for Fulton County. I hereby affirm that: My legal name is _____. My date of birth is _____. My age is _____ and I do currently reside in Fulton County, Georgia. This the _____ day of _____, 20_____. Signature: _____ Subscribed and sworn before me this _____, 2_____. (DATE) _____ _____ Notary Public Commission Expiration Date Upon completion return this Affidavit to: Fulton County Jury Services 185 Central Ave.

Commissioners to permanently remove my name from the list of eligible trial and grand jurors for Fulton County. I hereby affirm that: My legal name is _____. My date of birth is _____. My age is _____ and I do currently reside in Fulton County, Georgia. This the _____

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Transcription of Age Affidavit Exemption - fultoncourt.org

1 Age Affidavit Exemption Juror Name (Print Name) _____ Candidate ID: _____ Service Date: _____ I, _____, do hereby request the Board of Jury Commissioners to permanently remove my name from the list of eligible trial and grand jurors for Fulton County. I hereby affirm that: My legal name is _____. My date of birth is _____. My age is _____ and I do currently reside in Fulton County, Georgia. This the _____ day of _____, 20_____. Signature: _____ Subscribed and sworn before me this _____, 2_____. (DATE) _____ _____ Notary Public Commission Expiration Date Upon completion return this Affidavit to: Fulton County Jury Services 185 Central Ave.

2 , SW Suite T-7100 Atlanta, GA 30303 Fax: 404-612-2613 Email.