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FOR EXPUNCTION APPLICATIONS ONLY - sao8.org

FOR EXPUNCTION APPLICATIONS only FLORIDA DEPARTMENT OF LAW ENFORCEMENT APPLICATION FOR CERTIFICATION OF ELIGIBILITY PLEASE TYPE OR PRINT ALL INFORMATION Last Name First Name Middle Name Aliases: Maiden: Divorce Residence Phone Business Phone ( ) ( ) Date of Birth (DOB) Race Sex Social Security No. MONTH DAY YEAR Mailing Address City State Zip Permanent Address City State Zip Arresting Agency Date(s) of Arrest Florida Drivers License No. Charge(s) NOTARY (PLEASE STAMP WITH SEAL) 1. _____ Sworn to and subscribed before me 2. _____ This _____ Day of _____, 20_____ 3. _____ _____ 4.

for expunction applications only florida department of law enforcement application for certification of eligibility please type or print all information

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