COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Index No. IN THE COUNTY COURT, IN AND : FOR MARION COUNTY, FLORIDA Calendar No. STATE OF FLORIDA vs. -againstPlaintiff(s) : : : CASE NUMBER ___________________________ : STYLE OF VEHICLE JUDICIAL SUBPOENA __________________________________________ YEAR OF VEHICLE MAKE OF VEHICLE Defendant(s) : ...................................................... AFFIDAVIT IN LIEU OF PROOF OF COMPLIANCE THE PEOPLE OF THE STATE OF NEW YORK The undersigned does hereby swear or affirm under penalty of perjury and/or contempt of court TO proceedings that I cannot submit proof of compliance consisting of a valid, renewed, or reinstated vehicle registration certificate/proof of personal injury protection insurance for the vehicle operated by me at the time the above-referenced citation was issued for the following reason: ___ I no longer own the vehicle. _____ I never owned the vehicle. _____ The vehicle is of you attend before _____ WE COMMAND YOU, stolen or repossessed. The vehicle has been that all business and excuses being laid aside, you and each permanently inoperable. , the Honorable at the Court _____ I am a resident of a state thatat not issue registration certificates. does located County of _____ in room I am a resident of a stateof , on the day that does not 20 , require at insurance. in the , PIP o'clock noon, and at any recessed or adjourned date, to testify and give evidence as a witness in this I showon the part satisfying this citation. _____ I am unable to renew my vehicle registration until action proof of of the _____ Other (Specify) Therefore, I am submitting this affidavit in lieu as a contempt of court and will make Sections 316.646(3) Your failure to comply with this subpoena is punishable of proof of compliance pursuant toyou liable to the party 320.07(7), Florida Statutes. was issued for a maximum penalty of $50 and all damages sustained as a and on whose behalf this subpoena result of your failure to comply. NOTE: This document void unless signed in the Witness, Honorable presence of a notary public or deputy clerk. GREETINGS: , one of the Justices of the , 20 ________________________________________________ Court in County, day of Signature of Affiant/Defendant (Attorney must sign above and type name below) SWORN TO AND SUBSCRIBED BEFORE ME, on ___________________________, 20_______. Attorney(s) for DAVID R. ELLSPERMANN ____________________________________ Notary Public OR Clerk of the Circuit Court Marion County, Florida Office and P.O. Address By_________________________________ Deputy Clerk _____ _____ ALOP. Personally known to me. Produced identification, to wit: Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com Page 1.1