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AFFIDAVIT FOR EXCUSE FROM JURY DUTY STATE F MONT ANA County of Big Horn ) )ss. ) he undersigned, being first duly sworn, deposes and says: That the undersigned reques s to be excused for jury duty on the ground of undue hardship for the following reason : Prospective Juror's signature Pnnt Name and give Phone # ORDER The j ror IS excused. Judge The j ror is NOT excused. Judge