IN THE COUNTY COURT OF POLK COUNTY, FLORIDA

CIVIL DIVISION

CASE NO. __________________________

Plaintiff,

vs.

Defendant.

__________________________________/ 

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.

                                                                                                                            __________________________________
                                                                                                                            Plaintiff

 SWORN TO, subscribed and acknowledged before me this _____ day of ________, 19____.

                                                                                                                            RICHARD M. WEISS, CLERK

(SEAL)                                                                                                                  Circuit and County Courts

                                                                                                                            By_________________________________

                                                                                                                                    Deputy Clerk/Notary Public

                                                                                                                                    My Commission Expires:

____    Personally Known

____    Produced Identification

          Type of identification presented:______________

REV. 08/97                                                                                                                                                            100.doc (08/97)