IN THE CIRCUIT/COUNTY COURT OF THE FOURTH JUDICIAL CIRCUIT
IN AND FOR CLAY COUNTY, FLORIDA
THE STATE OF FLORIDA ,
Plaintiff, CASE NO.:
vs. DIVISION:
,
Defendant.
/
AFFIDAVIT IN SUPPORT OF PETITION TO EXPUNGE
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 in this affidavit.
2. I have never been adjudicated guilty of a criminal offense or a comparable ordinance violation.
3. I was arrested on the day of , 20 , by
,
(arresting agency), and I have not been adjudicated guilty of any of the charges 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 any law.
6. My record of arrest for this date has been sealed for at least 10 years; or an indictment or information was
not filed against me for the above criminal transaction; or an indictment or information filed against me
was dismissed by the prosecutor or the court.
Petitioner
Sworn to and subscribed before me this day of , 20
.
Notary Public Printed Name
Personally Known
Produced Identification
Type of Identification Produced
