IN THE COUNTY COURT OF THE FIFTEENTH JUDICIAL
CIRCUIT,
IN AND FOR PALM BEACH COUNTY, FLORIDA
ABRUZZO
CLERK OF
THE
CIRCUIT COURT & COMPTROLLER
PALM
BfACH
COUNIY
______________________________________________________________________
STATE OF FLORIDA
Vs.
Defendant.
CASE #
CITATION #
Driver’s License #:
AFFIDAVIT OF DEFENSE OR ADMISSION AND WAIVER OF APPEARANCE
Before me, personally appeared _________________________________________, who after first being place
under oath, swears or affirms as follows:
1. My name, address, and telephone number are:
Na
me:
________________________________________________________________
Address: ______________________________________________________________
Telephone No: _________________________________________________________
2. I am the defendant in the above-referenced case and am charged with the following violation(s): (List the
charges as you understand them to be.)
(
NOTE: This is not an admission that you violated any law.)
3. C
heck only one as your p
lea:
I hereby plead NOT GUILTY and file this affidavit of defense as my sworn statement herein. I
understand that when I plead not guilty, I do not have to supply any further statement. I understand
that by my filing this affidavit, the hearing officer or judge will have to make a decision as to
whether I committed the alleged violation by the sworn testimony of the witnesses, other evidence,
and my statement. I understand that I am waiving my personal appearance at the final hearing of this
matter.
I hereby plead GUILTY and file this affidavit as an explanation of what happened and as a
statement that the hearing officer or judge can consider before pronouncing a sentence. I understand
that I am not required to make any statement. I understand that the hearing officer or judge will
determine the appropriate sentence and decide whether to adjudicate me guilty.
I hereby plead NO CONTEST and file this affidavit as an explanation of what happened and as a
statement that the hearing officer or judge can consider before pronouncing a sentence. By pleading
no contest, I understand that I am not admitting or denying that the infraction was committed but do
not contest the charges, and I understand that I may be sentenced and found guilty even though I
entered a plea of no contest. I understand that I am not required to make any statement. I understand
that the hearing officer or judge will determine any appropriate sentence and decide whether to
adjudicate me guilty.
______________________________________
4. Defendant’s Statement: (additional papers, documents, photos, etc. can be attached but should be
mentioned herein).
I understand that any material misrepresentation could cause me to be prosecuted for a separate criminal law
violation.
/s/
________________________________________________
Affiant/Defendant
Sworn to (or affirmed) and subscribed before me,
The undersigned authority, on
__________________.
Personally known
Produced identification
Type of ID produced
__________________________
/s/__________________________________________
Notary Public, Deputy Clerk, or other authority
NAME:
_____________________________________
Commission No. ______________________________
My Commission Expires: _______________________
NOTE: It is your responsibility to make sure this affidavit is in the court file before the hearing date.
If Affiant/Defendant is under the age of 18, a parent or guardian must sign this affidavit:
Parent or Guardian
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