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IN THE COUNTY COURT, FOURTH JUDICIAL CIRCUIT, IN (Duval County Clerk of Courts)

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IN THE COUNTY COURT, FOURTH
JUDICIAL CIRCUIT, IN AND FOR
DUVAL COUNTY, FLORIDA
CASE NO: _______________________
DIVISION: ___________
_______________________________,
Plaintiff,
vs.
_______________________________
Defendant,
____________________________________/
AFFIDAVIT OF PLAINTIFF REGARDING CDC ORDER
OF SEPTEMBER 1, 2020
I, ___________________________, being sworn, hereby certify that the following
statements are true (initial each statement which applies to this case):
1. _______ I am the landlord in the above-styled case.
2. _______ I have read and am familiar with the Order of the Center for
Disease Control and Prevention, filed September 1, 2020, and entitled “Temporary Halt in
Residential Evictions to Prevent the Further Spread of COVID-10) [hereafter, “CDC Rule],
which may apply to this eviction proceeding.
3. _______ The tenant in this case HAS FILED a “Declaration” (as defined
under the CDC Rule), which prevents the plaintiff from pursuing an eviction at this time.
4. _______ The tenant in this case HAS NOT FILED a “Declaration” (as
defined under the CDC Rule), which, if filed, would prevent the plaintiff from pursuing an
eviction at this time.
5. _______ I understand that in the event the tenant in this case files a
“Declaration” (as defined under the CDC Rule) at any time during the pendency of this eviction
action, I must immediately notify this Court that such a Declaration has been filed. I further
understand that I must immediately file a copy of the tenant’s Declaration with the clerk, and I
must transmit a copy of the Declaration to the Court.
Dated this _____ day of _____________________, 2020.
________________________________
AFFIANT
STATE OF FLORIDA
COUNTY OF _____________________________________.
Sworn to or affirmed and signed before me on ______________________________, 2020, by
_______________________________________________________________.
NOTARY PUBLIC or DEPUTY CLERK
________ Personally known
________ Produced identification
Type of identification produced: ______________________________.
Template created on September 15, 2020
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IN THE COUNTY COURT, FOURTH JUDICIAL CIRCUIT, IN (Duval County Clerk of Courts)

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Completed 9 January 2021

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