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Affidavit As To Defendants Default In Stipulation Of Payment Law 111 - Florida
| Affidavit As To Defendants Default In Stipulation Of Payment Form. This is a Florida form and can be used in General Brevard Local County . |
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IN THE CIRCUIT COURT, EIGHTEENTH JUDICIAL CIRCUIT, BREVARD COUNTY, FLORIDA IN THE COUNTY COURT, BREVARD COUNTY, FLORIDA DIVISION CIVIL CRIMINAL JUVENILE TRAFFIC PLAINTIFF AFFIDAVIT AS TO DEFENDANT' S DEFAULT IN STIPULATION OF PAYMENT CASE NUMBER 05 - XXXX-XX BAR CODE LABEL CLOCK IN DEFENDANT STATE OF FLORIDA COUNTY OF BREVARD The undersigned, being first duly sw orn, deposes and says as follow s: 1. That he styled case. she is Plaintiff Agent for Plaintiff Attorney for Plaintiff in the above 2. That the above named Defendant(s) has(have) failed to make payment of money due said Plaintiff(s) in the manner provided in the Stipulation hereinbefore filed in this cause. 3. That he said Stipulation provided for the payment of damages in the amount of $_______________ and costs in the amount of $_______________ for a total of $_______________, and of that sum $______________ has been paid leaving a balance of $_______________ now past due and unpaid. 4. That the Plaintiff(s) moves (s) the Court to render judgment in the above referenced case. And further the undersigned saith not. SWORN TO AND SUBSCRIBED TO BEFORE ME THIS _______ DAY OF _______________________, _______. Plaintiff/Plaintiff' s Agent/Plaintiff' s Attorney Notary Public/Deputy Clerk LAW 111 Rev. 09/2005 American LegalNet, Inc. www.FormsWorkflow.com
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