COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : : Index No. Calendar No. IN THE CIRCUIT COURT OF THE ELEVENTH JUDICIAL CIRCUIT IN AND FOR DADE COUNTY, FLORIDA. 473 IN THE COUNTY COURT IN AND FOR DADE COUNTY, FLORIDA. : JUDICIAL SUBPOENA CASE NUMBER Plaintiff(s) DIVISION -againstAFFIDAVIT IN SUPPORT OF PETITION :TO SEAL CRIMINAL JUVENILE : TRAFFIC THE STATE OF FLORIDA : VS. CLOCK IN Defendant(s) : ...................................................... PLAINTIFF DEFENDANT THE PEOPLE OF THE STATE OF NEW YORK I, _____________________________________________________, am the defendant/petitioner in the above-styled TO cause and I do hereby swear or affirm that: 1. I fully understand the meaning of all of the terms of this affidavit. GREETINGS: 2. I have never been adjudicated guilty of a criminal offense or a comparable ordinance violation. WE COMMAND YOU, that ________________, 20______, by aside, you and each of you attend I was arrested on the ________ day of all business and excuses being laid____________________________ before , the Honorable at the Court ___________________ (arresting agency), and I have not been adjudicated guilty of any of the charges stemming located at County of infrom that arrest or the the room , on alleged criminal activity surrounding my arrest. o'clock in the day of , 20 , at noon, and at any recessed or am eligible for the testify and give evidence as a witness in this action on the do of have 4. I adjourned date, to relief requested, to the best of my knowledge and belief, and partnot the any other petition to 3. expunge or seal pending before any court. 5. I have never secured a prior records expunction or sealing under any law. Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply. Witness, Honorable Court in County, ______________________________________________ Petitioner the Justices of the , one of day of , 20 Sworn to and subscribed before me this _________ day of _________________________, 20_______. (Attorney must sign above and type name below) _____________________________________________ ___________________________________________ NOTARY PUBLIC, or other person authorized to administer an oath Printed, typed or stamped commissioned name of Notary Public Attorney(s) for Personally known Produced identification Office and Type of identification produced: ______________________________________ P.O. Address CLK/CT 414 Rev. 6/02 TelephoneClerk's web address: No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: www.miami-dadeclerk.com American LegalNet, Inc. www.USCourtForms.com