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Traffic - Sworn Affidavit

  1. IN THE COUNTY COURT OF THE FIFTH JUDICIAL CIRCUIT, IN AND FOR 
    CITRUS COUNTY, FLORIDA

  2. AFFIDAVIT

  3. I swear that I am not able to provide proof of valid insurance/registration on the vehicle cited in the above case for the following reason: *
  4. Please enter your full legal name in the box above

  5. Leave This Blank:

  6. This field is not part of the form submission.