IN THE COUNTY COURT OF POLK COUNTY, FLORIDA
CASE NO. __________________________
AFFIDAVIT OF IDENTITY
BEFORE ME, the undersigned authority, personally appeared _____________, who after being duly sworn, deposes and says:
1. Affiant is the plaintiff in the above-styled case in which a final
judgment was entered on ___________________, 19____, and recorded in the Official Records,
Book ________, Page ________, in the Public Records of Polk County, Florida.
2. Affiant has personal knowledge of the identity of the defendant and knows that _____________________________________
(name defendant was known by in above case)
is now also known as
(name defendant is now or also known as)
and who is one and the same person as the defendant in this cause.
SWORN TO, subscribed and acknowledged before me this _____ day of ________, 19____.
RICHARD M. WEISS, CLERK
(SEAL) Circuit and County Courts
My Commission Expires:
Type of identification presented:______________
REV. 08/97 100.doc (08/97)