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Declaratory Judgment - County Court Of The Second Judicial Circuit, In And For Franklin County, Florida Page 2

IN THE COUNTY COURT OF THE SECOND

JUDICIAL CIRCUIT, IN AND FOR FRANKLIN COUNTY, FLORIDA

CASE NO.__________________________

____________________________

Name(s) of Petitioner

____________________________

Mailing Address

_____________________________________

Daytime Phone Number

Plaintiff(s),

Vs.

____________________________

Name/Last Known Address of Person Holding Title

And

STATE OF FLORIDA

DEPARTMENT OF HIGHWAY

SAFETY AND MOTOR VEHICLES,

Attn: Enoch J. Whitney

Neil Kirkman Building

2900 Apalachee Parkway

Tallahassee, Fl. 32399

Respondents.

__________________________________________________/

COMPLAINT FOR DECLARATORY JUDGMENT

Plaintiff(s), _________________________________________________ under penalties

of perjury, hereby states the following:

1. This is an action for Declaratory Judgment and other relief pursuant to Chapter 86,

Florida Statues.

2. Plaintiff is a resident of ________________County, and have so resided during all

times

material

this

action.

Plaintiff’s

mailing

address

is:

Declaratory Judgment - County Court Of The Second Judicial Circuit, In And For Franklin County, Florida Page 2