AFFIDAVIT OF CONFISCATION OF IDENTIFICATION
STATE OF FLORIDA COUNTY OF __________________
Under the penalties of perjury, I declare that the person appearing before ____________________________, a Notary Public, is personally
known to me as:
_____________________________________________ and is the person named in the document(s) requiring notarization; and that the forms of identification acceptable by Florida Statute, for the above named inmate of an institution of confinement were confiscated upon confinement.
____________________________________ Signature of Law Enforcement Officer
_______________ ID Number
____________________________________ Printed Name of Law Enforcement Officer
Sworn to (or affirmed) and subscribed before me this
by the above named Law Enforcement Officer, who provided (check one) F a Drivers License or
F _______________________________________________________________ as identification.
_____________________________________ (Signature of Notary Public)
_____________________________________ (Printed name of Notary Public)
My commission expires:
PAW Notary Services – Affidavit Of Confiscation Of Identification – Prepared pursuant to Section 117.05(5)(b)2.h Florida Statutes (2001)