Florida Affidavit Form
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1____________________________
____________________________
signature
signature
____________________________
____________________________
printed name
printed name
pr
State of FLORIDA
State of FLORIDA
County of _______________
County of _______________
The foregoing instrument was acknowledged before me this _______
The foregoing instrument was acknowledged before me this _______
day of _____________20_____ by _______________________________ who q is
day of _____________20_____ by _______________________________ who q is
personally known to me or q produced a _______________________ as
personally known to me or q produced a ________________________ as
identification.
identification.
________________________
________________________
SEAL
notary signature
SEAL
notary signature
________________________
________________________
notary printed name
notary printed name
FL-2035-ACK
provides this form pursuant to Florida Statutes §117.05(13)(b)
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