IN THE CIRCUIT COURT OF THE ELEVENTH JUDICIAL CIRCUIT IN AND FOR MIAMI-DADE COUNTY, FLORIDA. 473
IN THE COUNTY COURT IN AND FOR MIAMI-DADE COUNTY, FLORIDA.
DIVISION
CRIMINAL
JUVENILE
TRAFFIC/MISDEMEANOR
AFFIDAVIT IN SUPPORT OF PETITION TO SEAL
CASE NUMBER
THE STATE OF FLORIDA VS.
PLAINTIFF DEFENDANT
CLOCK IN
I, ____________________________________________________, am the defendant/petitioner in the above-styled
cause and I do hereby swear or affirm that:
1. I fully understand the meaning of all of the terms of this affidavit.
2. I have never been adjudicated guilty of a criminal offense or a comparable ordinance violation nor adjudicated
delinquent for committing a felony or a misdemeanor specified in section 943.051(3)(b), Florida Statutes.
3. I was arrested on the _____ day of ____________________, 20 _____, by ___________________________
_________________________ (arresting agency), and I have not been adjudicated guilty of, nor adjudicated
delinquent for committing, any of the acts stemming from that arrest or the alleged criminal activity surrounding
my arrest.
4. I am eligible for the relief requested, to the best of my knowledge and belief, and do not have any other
petition to expunge or seal pending before any court.
5. I have never secured a prior records expunction or sealing under section 943.0585 or 943.059, Florida
Statutes, or under former section 893.14, 901.33 or 943.058, Florida Statutes.
____________________________________________
Petitioner
Sworn to and subscribed before me this ______ day of ___________________________20_____.
________________________________________________ ______________________________________________
NOTARY PUBLIC, or other person authorized to administer an oath Printed, typed or stamped commissioned name of Notary Public
Personally known
Produced identification
Type of identification produced: ______________________________________
CLK/CT 414 Rev. 08/19 Clerk’s web address: www.miami-dadeclerk.com