Affidavit Of Confiscation Of Identification printable pdf download

Affidavit Of Confiscation Of Identification

AFFIDAVIT OF CONFISCATION OF IDENTIFICATION

State of FLORIDA

County of _______________

Under the penalties of perjury, I declare that the person appearing before

______________________________, a Notary Public, is personally known to me

as: ________________________________________________ and is the person

named in the document(s) requiring notarization; and that the forms of

identification acceptable by Florida Statute, for the above named inmate of an

institution of confinement were confiscated upon confinement.

______________

___________________________________

Date

Signature of Law Enforcement Officer

______________

___________________________________

ID Number

Printed Name of Law Enforcement Officer

Sworn to (or affirmed) and subscribed before me this _____ day of ___________,

20_____ by the above named Law Enforcement Officer, who provided a

_____________________________ as identification.

___________________________

Notary Public Signature

(SEAL)

___________________________

Printed Name of Notary Public

FL-2161-AFF

provides this affidavit pursuant to Florida Statute §117.05(5)(b)2.h

Affidavit Of Confiscation Of Identification