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Affidavit for Exemption

  1. Instructions

    If you wish to claim a statutory exemption, you should print out this page, complete the following affidavit and mail it immediately to the court at:
    City of Bedford Municipal Court
    2000 Forest Ridge Drive
    Bedford, TX 76021

    If you should have any questions pertaining to this summons contact the court at 817-952-2151.

  2. I do solemnly swear that I am exempt from jury service for the reason indicated below:

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