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This Case Was Tried to a Jury of Twelve Persons in the Circuit Form

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IN THE CIRCUIT COURT OF COUNTY, MISSISSIPPI AND PLAINTIFFSVS. NO. DEFENDANT FINAL JUDGMENT On , , this case was tried to a Jury of twelve persons in the Circuit Court of County in , Mississippi. After all testimony and exhibits had been offered and examined by the Jury, the Jury deliberated and rendered its well considered verdict as follows: "We, the Jury, find for the Defendant, ." The Jury was polled at the request of the Plaintiffs. The polling reflected that members of the Jury voted in favor of the verdict for the Defendant, and Juror was in disagreement.ACCORDINGLY, IT IS ORDERED and ADJUDGED that the Plaintiffs take nothing, that the action be dismissed on the merits against and that shall recover from the Plaintiffs, and its costs of action.Dated, this the day of , . __________________________________________CIRCUIT JUDGE

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