NOTE: It is your responsibility to make sure this affidavit is in the court file before the hearing
date.
IN THE COUNTY COURT OF THE FOURTH JUDICIAL CIRCUIT,
IN AND FOR CLAY COUNTY, FLORIDA
THE STATE OF FLORIDA, CITATION NO.:
CASE NO.:
vs. DIVISION:
D.L. NO.:
Defendant.
/
AFFIDAVIT OF DEFENSE OR ADMISSION AND WAIVER OF APPEARANCE
Before me personally appeared , who after first being placed
under oath, swears or affirms as follows:
1. My name, address, and telephone number is:
Name: Attorney Name:
Address: Address:
City, Zip, State: City, Zip, State:
Telephone Number: Telephone Number:
2. I am the defendant in the above-referenced case and I am charged with the following
violation(s): (List the charges as you understand them to be)
{NOTE: This is not an admission that you violated any law.}
3. I hereby plead NOT GUILTY of the charge(s) listed above and file this affidavit of
defense as my sworn statement herein. I understand that when I plead not guilty, I do not
have to supply a further statement. I understand that by filing this affidavit, the hearing
officer or judge will have to make a decision as to whether I committed the alleged violation
by the sworn testimony of the witnesses, other evidence, and my statement. I understand
that I am waiving my personal appearance at the final hearing.
I hereby plead GUILTY and file this affidavit as an explanation of what happened
and as a statement that the hearing officer or judge can consider before pronouncing a
sentence. I understand that I am not required to make any statement. I understand that the
hearing officer or judge will determine the appropriate sentence and decide whether to
adjudicate guilty.
I hereby plead NO CONTEST and file this affidavit as an explanation of what
happened and as a statement that the hearing officer or judge can consider before
pronouncing a sentence. By pleading no contest, I understand that I am not admitting or
denying that the infraction was committed but do not contest the charges and I understand
