Affidavit Of Defense Or Admission And Waiver Of Appearance Form - Alachua County, Florida Page 2

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required to make any statement. I understand that the judge will determine any
appropriate sentence and decide whether to adjudicate me guilty.
4. Defendant’s Statement (Additional papers, documents, photographs, etc., can be attached.
Any attachments should be identified herein.)
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
I understand that any material misrepresentation could cause me to be prosecuted for a
separate criminal law violation.
________________________________________
Affiant/Defendant
If Affiant is under 18, a parent or guardian must sign this affidavit.
________________________________________
Parent/Guardian
Sworn to or affirmed and subscribed before me this _____ day of _______________,
20_____, by the Affiant, who ___ is personally known to me ___ produced identification in the
form of
__________________________________________________________________________.
________________________________________
Notary Public/Deputy Clerk
Name: __________________________________
Commission No. __________________________
My Commission Expires: ____________________
NOTE TO AFFIANT: It is your responsibility to ensure that this affidavit is in the court file
before the hearing date. With this affidavit, you must post a bond in the amount of the statutory
fine for your offense. The bond will be applied toward any fine ordered by the court. If the court
orders you to pay a fine, the payment is due on the hearing date. If payment is not made on
the hearing date, an additional $25 fee will apply. You may telephone the Clerk’s Office on the
hearing date to determine the fine amount and pay the fine by credit card.
Revised Handout - Affidavit of Defense - 3-24-2008

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