IN THE CIRCUIT COURT OF THE ELEVENTH JUDICIAL CIRCUIT IN AND FOR MIAMI-DADE COUNTY, FLORIDA. IN THE COUNTY COURT IN AND FOR MIAMI-DADE COUNTY, FLORIDA. 474 CASE NUMBER DIVISION CRIMINAL AFFIDAVIT IN SUPPORT OF PETITION TO EXPUNGE JUVENILE TRAFFIC/MISDEMEANOR THE STATE OF FLORIDA CLOCK IN 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 comparable 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. 6. My record of arrest for this date has been sealed for at least 10 years; or an indictment or information was not filed against me for the above criminal transaction; or an indictment or information filed against me was dismissed by the prosecutor or the court. ______________________________________________ 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 23 Rev. 1/06 Clerk's web address: www.miami-dadeclerk.com American LegalNet, Inc. www.FormsWorkflow.com