Release of Exempt Information

IN THE CIRCUIT COURT OF THE FOURTH JUDICIAL CIRCUIT IN AND FOR CLAY COUNTY, FLORIDA. 474 IN THE COUNTY COURT IN AND FOR CLAY COUNTY, FLORIDA. DIVISION CASE NUMBER CRIMINAL AFFIDAVIT IN SUPPORT OF PETITION TO EXPUNGE JUVENILE TRAFFIC THE STATE OF FLORIDA VS. CLOCK IN PLAINTIFF DEFENDANT I, %0D%0A , am the defendant/petitioner in the above-styled cause and I do hereby swear or affirm that: 1.I fully understand the meaning of all of the terms of this affidavit. 2.I have never been adjudicated guilty of a criminal offense or a comparab%0D%0Ale ordinance violation. 3.I was arrested on the day of , 20 , by (arresting agency), and I have not been adjudicated guilty of any of t%0D%0Ahe charges stemming from that arrest or the alleged criminal activity surrounding my arrest. 4.I am eligible for the relief requested, to the best of my knowledge and %0D%0Abelief, and do not have any other petition to expunge or seal pending before any court. 5.I have never secured a prior records expunction or sealing under any law%0D%0A. 6.My record of arrest for this date has been sealed for at least 10 years;%0D%0A or an indictment or information was not filed against me for the above criminal transaction; or an indictment or infor%0D%0Amation filed against me was dismissed by the prosecutor or the court. Petitioner Sworn to and subscribed before me this day of , 20 . %0D%0A %0D%0A NOTARY PUBLIC, or other person authorized to administer an oath Printed, typed or stamped commissioned name of Notary Public %0D%0A Personally known Produced identification Type of identification produced: ______________________________________ CLK/CT 23 Rev.6/02 %0D%0A