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Case#: 2021WL000838 Document#: 6423-11 Filed: 2023/02/22 Page#: 5 of 30 Juror ID: 50 PLEASE ANSWER THE FOLLOWING QUESTIONS: ABILITY TO SERVE Please note: In the event you are excused from service on this jury, you will likely not be excused from jury service in general. You will instead be required to report to the Court's Jury Clerk for placement on another panel for another case. 1. Do you have any unmovable commitments between November 16, 2021, and November 19, 2021, which is when jury selection will take place? Yes No 1a. If yes, please explain (without indicating the name of where you work or the names of any family members or friends, or other personal information that might identify who you are): 2. Do you have any unmovable commitments between November 29, 2021, and approximately January 15, 2022, which is the estimated length for trial? Yes No 2a. If yes, please explain (without indicating the name of where you work or the names of any family members or friends, or other personal information that might identify who you are): 3. Do you have any international travel plans between now and November 29, 2021? Yes No 4. Do any circumstances exist such that serving on the jury in this case would entail serious hardship or extreme inconvenience? Yes No 4a. If yes, please briefly describe the serious hardship or extreme inconvenience: -6- DOJ-OGR-00009763