DOJ-OGR-00005304.jpg
284 KB
Extraction Summary
1
People
2
Organizations
0
Locations
2
Events
0
Relationships
3
Quotes
Document Information
Type:
Court filing - jury questionnaire declaration form
File Size:
284 KB
Summary
This document is page 28 of 40 from a court filing (Document 365) in Case 1:20-cr-00330-PAE (United States v. Ghislaine Maxwell), filed on October 22, 2021. It is a blank declaration page for a Jury Questionnaire requiring a juror to attest to the truthfulness of their answers under penalty of perjury without revealing their name, instructing them to sign only with their Juror Number in November 2021. The document bears a Department of Justice footer stamp.
People (1)
| Name | Role | Context |
|---|---|---|
| Juror (Unidentified) | Juror |
Person required to sign the declaration using only their Juror Number.
|
Organizations (2)
| Name | Type | Context |
|---|---|---|
| Department of Justice (DOJ) |
Indicated by the footer stamp 'DOJ-OGR-00005304'
|
|
| United States District Court |
Implied by the case header format (Case 1:20-cr-00330-PAE)
|
Timeline (2 events)
2021-10-22
Document 365 filed in Case 1:20-cr-00330-PAE
Court Record
Key Quotes (3)
"DO NOT WRITE YOUR NAME. PLEASE SIGN USING YOUR JUROR NUMBER."Source
DOJ-OGR-00005304.jpg
Quote #1
"declare under penalty of perjury that the foregoing answers set forth in this Jury Questionnaire are true and correct"Source
DOJ-OGR-00005304.jpg
Quote #2
"I have not discussed my answers with others, or received assistance in completing the questionnaire."Source
DOJ-OGR-00005304.jpg
Quote #3
Full Extracted Text
Complete text extracted from the document (509 characters)
Case 1:20-cr-00330-PAE Document 365 Filed 10/22/21 Page 28 of 40
Juror ID: __________
Juror ID: __________
DECLARATION
I, Juror Number ______ declare under penalty of perjury that the foregoing answers set forth in
this Jury Questionnaire are true and correct to the best of my knowledge and belief. I have not
discussed my answers with others, or received assistance in completing the questionnaire.
this Jury Questionnaire are true and correct to the best of my knowledge and belief. I have not
discussed my answers with others, or received assistance in completing the questionnaire.
Signed this ______ day of November, 2021
DO NOT WRITE YOUR NAME. PLEASE SIGN USING YOUR JUROR NUMBER.
-27-
DOJ-OGR-00005304
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