The Age Exemption Form is the one-page Claim for a Permanent Exemption from Jury Service Based on Age, issued by Liberty County Jury Services in Liberty, Texas. It is not one of the Liberty County property tax forms: the exemption it claims is from jury service, and it is for people who are over 75 years of age. On FillingPDF you can fill out the form online and download or print the completed PDF; the original is published on the Liberty County website.
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What is Age Exemption Form – Liberty County, TX?
The Age Exemption Form, printed as Claim for a Permanent Exemption from Jury Service Based on Age, is a one-page Liberty County Jury Services form on which a person over 75 states a wish to obtain a permanent exemption from jury service.
The form is a short written claim. It has blanks for your name, your address and your date of birth, followed by three statements: that you are over 75 years of age, that you desire a permanent exemption from jury service because you are over 75, and that you hereby claim that permanent exemption. A signature line closes the page.
The header of the form gives the office that handles it: Liberty County Jury Services, 1923 Sam Houston Street, Liberty, Texas 77575, telephone 936-336-4686, email [email protected].
This document concerns jury service only. It is not an exemption from property tax or any other tax, and it does not ask for any tax or property information. The form prints no form number and no revision date.
Who needs to file Age Exemption Form – Liberty County, TX?
People who are over 75 years of age and want to be permanently exempt from jury service in Liberty County use this form. The claim rests on one condition, which you declare on the form itself: "I am over 75 years of age." Your date of birth is entered on the form next to that statement.
The form is a personal claim written in the first person ("My name is…", "I hereby claim…"), and it ends with a single signature line. It does not describe any representative, guardian or other person who may sign for you, so questions about claiming on someone else's behalf go to Liberty County Jury Services at the telephone number or email printed in the form's header.
Do not use this form if you are looking for a property tax exemption. Despite the word "exemption" in its name, it concerns jury service only.
When to file Age Exemption Form – Liberty County, TX
You complete this claim when you are over 75 years of age and want a permanent exemption from jury service. The form prints no due date, no filing window and no renewal period; the exemption it asks for is described on the form as permanent, so it is a claim made once.
The form does not say whether a claim can be made before or after a jury summons arrives, or how long the office takes to respond. To confirm timing for your situation, contact Liberty County Jury Services at 936-336-4686 or [email protected], the contact details printed at the top of the form.
How to fill out Age Exemption Form – Liberty County, TX
Open the form online
Open the Age Exemption Form (Claim for a Permanent Exemption from Jury Service Based on Age) on this page. It is a single page issued by Liberty County Jury Services.
Enter your name
Complete the line "My name is" with your full name.
Enter your address
Complete the line "My address is" with your address.
Enter your date of birth
Complete the line "My date of birth is". The form prints no required date format, so write it clearly.
Read the age statements
The form states "I am over 75 years of age" and that you claim a permanent exemption because of that. Continue only if both statements are true for you.
Sign the claim
Sign on the signature line at the bottom of the page. The form has no other signature block.
Review and download the PDF
Check your name, address and date of birth, then download or print the completed PDF from FillingPDF and deliver it as described under How to submit.
How to submit Age Exemption Form – Liberty County, TX
The form names no submission channel of its own. It carries the contact details of Liberty County Jury Services in its header, so start there:
- Address: Liberty County Jury Services, 1923 Sam Houston Street, Liberty, Texas 77575.
- Telephone: 936-336-4686.
- Email: [email protected].
Sign the completed form before you send it. Because the form does not state whether the office accepts it by mail, in person or by email, call or write to Jury Services to confirm how the signed claim should be delivered. The form asks for no attachments and mentions no fee. FillingPDF lets you fill out and download the PDF; submission follows the channels the county gives you.
Common mistakes to avoid
- Using the Age Exemption Form to ask for a property tax exemption; it claims an exemption from jury service only.
- Leaving the date of birth blank, when the form relies on it to support the statement that you are over 75.
- Submitting the claim when you are not over 75; the form states "I am over 75 years of age" and asks you to sign that statement.
- Sending the form unsigned; the signature line is the only thing that completes the claim.
- Leaving out your address, which the form asks for right after your name.
- Assuming a delivery method the form does not name; the form gives only the Jury Services contact details, so confirm how to deliver it.
Frequently asked questions
What is the Liberty County Age Exemption Form?
It is a one-page claim, titled Claim for a Permanent Exemption from Jury Service Based on Age, issued by Liberty County Jury Services. A person over 75 fills in name, address and date of birth, states that they claim the permanent exemption, and signs.
Is the Age Exemption Form a Liberty County property tax exemption?
No. The form claims an exemption from jury service only and asks for no tax or property information. If you need a property tax exemption, this is not the form; it is a Jury Services document.
Who can use the Age Exemption Form?
People who are over 75 years of age. The form has you state "I am over 75 years of age" and give your date of birth. It names no other group and describes no one who may sign for you.
Is the exemption temporary or permanent?
Permanent. The form is titled a claim for a permanent exemption, and its text says you desire to obtain a permanent exemption from jury service because you are over 75. It prints no renewal period.
Where do I send the age exemption form in Liberty County?
The form names no delivery method. It prints the Liberty County Jury Services contact details: 1923 Sam Houston Street, Liberty, Texas 77575; 936-336-4686; [email protected]. Contact them to confirm how to deliver the signed claim.
Do I need to attach proof of age?
The form lists no attachments. It asks only for your name, address and date of birth, and your signature on the statements. If you want to know whether the office needs anything more, call Jury Services at 936-336-4686.
Can I fill out the Age Exemption Form online?
Yes. You can fill out the PDF online on FillingPDF and download or print it. FillingPDF is an independent service and does not file the form with Liberty County; you deliver it through the county's channels.
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