Affidavit Pursuant To F.s.s. Page 2

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(F) If the search revealed no secured creditor liens (UCC) found, a statement attesting to that effect is
included in the affidavit.
(G) That I understand it is the responsibility of the sheriff to furnish certified mailing of NOTICE to all
judgment creditors who have acquired a lien as provided in F.S.S. 55.502 and F.S.S. 55.204(3),
all secured creditors who filed financing statements as provided in part V of Chapter 679, F.S.S.,
and I have provided to the sheriff said names and addresses required by F.S.S. 56.21, including:
a. Attorney of Record of Judgment Debtor (Defendant/s), and if debtor has no attorney, then
a statement attesting to that effect is included in the affidavit;
b. Judgment Debtor (Defendant/s) last known address;
c. Attorney of Record for all Judgment Creditors as listed in the judgment lien certificate, or
any amendment to said certificate;
d. All Judgment Creditors who do not have an attorney of record, as listed in the judgment
lien certificate or any amendment to said certificate;
e. All Secured Creditors (UCC) as listed in the financing statement or any amendment to
said statement.
It is my understanding, unless a directed court order to the sheriff is received prior to the day of sheriff’s
sale, all monies received through levy or sale will be paid as prescribed in F.S.S. 56.27; to the sheriff, for
costs; the levying creditor in the amount of $500.00 as liquidated expenses; and the PRIORITY
LIENHOLDER(S) under F.S.S. 55.202, F.S.S. 55.204(3), or F.S.S. 55.208(2), as set forth in this Affidavit
required by subsection (4), by the plaintiff/creditor or his or her attorney, in satisfaction of the judgment
lien(s), provided that the judgment lien(s) has (have) not lapsed at the time of levy. The receipt of the
attorney shall be a release of the officer paying the money to him or her. If the name of more than one
attorney appears in the court file, I have provided to the sheriff, the name and address of either the attorney
who originally commenced the action or who made the original defense, unless the file shows another
attorney has been substituted.
I further understand pursuant to F.S.S. 56.27(5), a sheriff paying money received under an Execution in
accordance with the information contained in the AFFIDAVIT under subsection (4), is not liable to anyone
for damages arising from a wrongful levy.
Date:_________________________
______________________________
Affiant’s Signature
Name and Address
Notary Information and name of document preparer.
**** NOTE: Affidavit will not be accepted by Sheriff unless signed by the Attorney of Record for the Levying
Creditor (Plaintiff), or Levying Creditor (Plaintiff) and duly notarized. The levying creditor or Attorney for
levying creditor SHALL deliver to the sheriff this affidavit at the time of the levy request.

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