IN THE COUNTY COURT, FOURTH JUDICIAL
CIRCUIT, IN AND FOR CLAY COUNTY, FLORIDA
CASE NO.:
DIVISION:
PLAINTIFF
VS
DEFENDANT
AFFIDAVIT OF NON-MILITARY SERVICE
STATE OF FLORIDA
COUNTY OF CLAY
Before me personally appeared the undersigned, and, who being by me first duly sworn, deposed
and said: that he is the plaintiff or agent for the plaintiff in the within Statement of Claim; that
is not now in the military
service of the United States of America; and that the defendant is employed as follows:
PLAINTIFF
STATE OF FLORIDA
COUNTY OF CLAY
Before me this day personally appeared who
being duly sworn, deposes and says that the allegations contained therein are true.
NOTARY PUBLIC/DEPUTY CLERK
Sworn to and subscribed before me this day of
, 20 .
Identification presented:
FL DL #
Personally known to me
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