| IN THE CIRCUIT COURT OF THE JUDICIAL CIRCUIT, IN AND FOR COUNTY, FLORIDA |
|
Case No.: Judge:: |
Petitioner |
|
and |
Respondent |
| AFFIDAVIT OF MILITARY SERVICE |
| I, {full legal name} , am the Petitioner in this case. To support my application for a default judgment and to comply with the Servicemembers Civil Relief Act (SCRA) (formerly known as Soldiers’ and Sailors’ Civil Relief Act of 1940), I swear or affirm that the following information istrue:
{Please choose only one} |
| 1. | I know of my own personal knowledge that the Respondent IS on active duty in the military service of the United States. |
| 2. | I know of my own personal knowledge that Respondent IS NOT now on active duty in the military service of the United States, nor has the Respondent been on active military serviceof the United States within a period of thirty (30) days immediately before this date. “Active Service” includes reserve members of the Army, Navy, Air Force, Coast Guard, and Marines who have been ordered to report for active duty and members of the Florida National Guard who have been ordered to report to active duty for a period of more than thirty (30)days. |
| 3. | I have contacted the military services of the United States and the U.S. PublicHealth Service and have obtained certificates showing that the Respondent is not on active duty status. These certificates are attached. |
| 4. | I have attempted to determine the military status of the Respondent, but do not have sufficient information. This is what I have done to determine whether or not Respondent is on active duty in the United States military: |
| I have no reason to believe that s/he is on active duty at thistime. |
| I understand that I am swearing or affirming under oath to the truthfulness of the claims made in this affidavit and that the punishment for knowingly making a false statement includes fines and/or imprisonment. |
| Dated: |
Signature of Petitioner Printed Name: Address: City, State, Zip: Telephone Number: Fax Number: Designated E-mail Address(es): |
| STATE OF FLORIDA COUNTY OF |
| Sworn to or affirmed and signed before me on bY |
NOTARY PUBLIC or DEPUTY CLERK
[Print, type, or stamp commissioned name of notary or
deputy clerk.]
Personally known
Produced identification
Type of identification produced
| IF A NONLAWYER HELPED YOU FILL OUT THIS FORM, HE/SHE MUST FILL IN THE BLANKS BELOW:[fill in all blanks] |
| This form was prepared for the: {choose only one} ( ) ( ) This form was completed with the assistance of: |
| {name of individual} |
| {name of business} |
| {address} |
| {city} | {state} | {telephone number} |