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.
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