IN THE CIRCUIT COURT OF THE FORTH JUDICIAL CIRCUIT IN AND FOR CLAY COUNTY, FLORIDA. 473 IN THE COUNTY COURT IN AND FOR CLAY COUNTY, FLORIDA. CASE NUMBER DIVISION CRIMINAL AFFIDAVIT IN SUPPORT OF PETITION TO SEAL JUVENILE TRAFFIC CLOCK IN THE STATE OF FLORIDA VS. PLAINTIFF DEFENDANT I, , 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 le ordinance violation. 3.I was arrested on the day of , 20 , by (arresting agency), and I have not been adjudicated guilty of any of the 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 belief, 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 . Petitioner Sworn to and subscribed before me this day of , 20 . NOTARY PUBLIC, or other person authorized to administer an oath Printed, typed or stamped commissioned name of Notary Public Personally known Produced identification Type of identification produced: CLK/CT 414 Rev. 6/02 Clerks web address: http://clayclerk.com/