IN THE COUNTY COURT OF THE FIFTH JUDICIAL CIRCUIT OF THE STATE OF FLORIDA IN AND FOR HERNANDO COUNTY 20 N. MAIN STREET, ROOM 217 BROOKSVILLE, FL 34601
STATE OF FLORIDA Plaintiff -vs-
CASE #: CITATION #: DRIVER’S LICENSE #:
Defendant Phone # (9am-5pm) Email Address:
Phone # (evening)
AFFIDAVIT OF DEFENSE
My name is ; I receive mail at this address: ; and I received the above citation charging me with on the day of , .
* * * * PLEASE BE ADVISED * * * * If you will not be present at the hearing, explain in your own words on a separate sheet of paper, being as brief as possible, but not omitting any material facts that will help the official arrive at a judgment in your case. Also, include an appearance bond in the amount of $150: fine/cost, if applicable, will be deducted from the appearance bond. I am DENYING / ADMITTING (circle one) the commission of the infraction. I will not be in Hernando County on the following dates and would not be able to appear from until . NOTE: This affidavit will be presented to the presiding official together with the citation. You will be advised when to appear for your court hearing at least 7 to 10 days prior to the hearing. If an appearance bond in posted, you will be notified of the court date, the decision and of any fine/costs assessed by the official by US Mail. XX Signature of alleged Offender XX I waive my right to a speedy trial. by person as identification. Notary Public
Sworn to and subscribed before me on Who is personally known to me or who has produced My commission expires:
AffDef.wpd
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