Non-Resident Affidavit Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Non-Resident Affidavit Form. This is a Georgia form and can be use in Clayton Local County.
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Tags: Non-Resident Affidavit, Georgia Local County, Clayton
NON-RESIDENT AFFIDAVIT
TO:
LINDA T. MILLER
Clerk of Superior Court
Jury Division
9151 Tara Boulevard, 1JA09
Jonesboro, Georgia 30236-4912
770-477-3400; fax 770-477-4519
Email: juryclerk@co.clayton.ga.us
****PLEASE NOTE: YOU MAY FAX THIS
FORM IN, BUT PLEASE SEND THE
ORIGINAL VIA US MAIL SERVICE. THE
ORIGINAL FORM MUST BE RECEIVED &
RETAINED BY THIS OFFICE.
AFFIDAVIT
I hereby request that I,
, be removed from the jury list
because I am no longer a Clayton County resident. I solemnly swear or affirm that I have moved to
(county)
(street address)
(
(city)
(state)
(zip code)
(county)
)
(area code)
.
phone number
I also authorize Voter Registration to change their records accordingly.
DATE
SIGNATURE
Juror Name:
Juror Number:
Service Date:
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