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Note: Unless the Clerk of the Court otherwise notifies you, you must report for jury duty as requested.
I have read the conditions for disqualification and exemption above and none of the conditions listed apply to me. Note: The furnishing of false or misleading information or the failure to furnish information to the court may subject you to penalties as prescribed by law. By typing my name in the following box and clicking submit button I certify the above statements to be true and correct, to the best of my knowledge.
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