Affidavit of Identity and Written Plea of Not Guilty
Affidavit of Identity and Written Plea of Not Guilty
Affidavit of Identity and Written Plea of Not Guilty
COUNTY OF
......................................................
[ ] 17th Judicial Circuit in and for Broward County Florida : CLOCK IN
Index No.
[ ] In the County in and for Broward County
: Calendar No.
DIVISION: AFFIDAVIT OF IDENTITY
[ ] Criminal
[ ] Traffic AND WRITTEN PLEA OF NOT GUILTY
:
Plaintiff(s) JUDICIAL SUBPOENA
[ ] Other
-against- :
THE STATE OF FLORIDA VS. CASE NUMBER/
: CITATION NUMBER
PLAINTIFF DEFENDANT
:
AFFIANT’S NAME: Defendant(s) : SEX:
......................................................
ADDRESS:
PLACE OF EMPLOYMENT:
GREETINGS:
VEHICLES DRIVEN BY YOU:
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
STATEMENT: I DENY EVER HAVING RECEIVED THIS CITATION
the Honorable at the BECAUSE:Court ,
EXPLAIN WHY YOU
County of COULD NOT HAVE BEEN locatedCITED
at FOR THIS VIOLATION, AND YOUR WHERE-ABOUTS AT THE
TIME THE CITATION WAS, ISSUED
in room on the ON Aday SEPARATE
of SHEET OF PAPER
, 20 , at AND ATTACH
o'clock inWITH
the ALLnoon,
OTHER
and at any recessed
SUBSTANTIATING DOCUMENTS, OR ATTACH A NOTARIZED AFFIDAVIT/LETTER FROM YOUR
or adjourned date, to testify and give evidence as a witness in this action on the part of the EMPLOYER, IF
YOU WERE AT WORK ON THE DATE AND TIME IN QUESTION.
HOME TELEPHONE:
(Attorney must sign above and type name below)
PLACE OF EMPLOYMENT:
EMPLOYER’S ADDRESS:
Attorney(s) for
DID YOU FILE A POLICE REPORT OF STOLEN PROPERTY, WALLET, PURSE, DRIVER LICENSE, ETC?
[ ] YES [ ] NO (IF YES, ATTACH A COPY OF THE REPORT)
Telephone No.:
DEPUTY CLERK FacsimileNOTARY
No.: PUBLIC
E-Mail Address:
FORM.621 SEARCH FEE: 698 Mobile Tel. No.: COPY FEE: 699