Fillable IN THE CIRCUIT/COUNTY COURT OF THE FOURTH JUDICIAL (Clay County Florida Clerk of Court and Comptroller)

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IN THE CIRCUIT/COUNTY COURT OF THE FOURTH JUDICIAL (Clay County Florida Clerk of Court and Comptroller)

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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 SEAL
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.
Petitioner
Sworn to and subscribed before this day of , 20
.
Notary Public Printed Name
Personally Known
Produced Identification
Type of Identification Produced
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IN THE CIRCUITCOUNTY COURT OF THE FOURTH JUDICIAL (Clay County Florida Clerk of Court and Comptroller)

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Completed 30 July 2021

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