Clerks Certificate Of Release Of Original Document Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Clerks Certificate Of Release Of Original Document Form. This is a Florida form and can be use in Polk Local County.
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Tags: Clerks Certificate Of Release Of Original Document, 128, Florida Local County, Polk
IN THE COUNTY COURT OF POLK COUNTY, FLORIDA
CIVIL DIVISION
CASE NO. ____________________________
Plaintiff,
vs.
Defendant.
_________________________________________/
CLERK’S CERTIFICATE OF RELEASE OF ORIGINAL DOCUMENT
STATE OF FLORIDA
COUNTY OF POLK
I, RICHARD M. WEISS, Clerk of the Circuit and County Courts, in and for Polk County, Florida, do hereby
certify that
on the _____ day of ____________________, 20____, I delivered to _______________
the______________________________, in said case, the following original document(s) marked as exhibit
#_____: ____________________ pursuant to the Order from the Honorable
_________________________________, County Judge. A copy has been substituted for the original document.
Witness my hand and seal of this office on this _____ day of ______________________, 20____.
RICHARD M. WEISS, Clerk
Circuit and County Courts
Drawer CC-12, P. O. Box 9000
Bartow, Florida 33831-9000
(SEAL)
By____________________________________
Deputy Clerk
128.doc (08/97)
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