STATE OF FLORIDA COUNTY OF
I, ..... (affiant) ....., state under oath that:
______ a person domiciled in and a resident of Florida; or
______ a representative authorized to sign on behalf of ..... (name of entity) ..... which is incorporated, organized, or has its principal place of business in Florida.
______ posted and maintained a blanket surety bond in compliance with the requirements of section 732.525(1)(a), Florida Statutes; or
______ maintained a liability insurance policy in compliance with the requirements of section 732.525(1)(b), Florida Statutes.
Affiant
Sworn to (or affirmed) and subscribed before me by means of______ physical presence or______ online notarization, this______ day of_________, 20_________, by ..... (name of person making statement) ......
Signature of Notary Public-State of Florida
(Print, Type, or Stamp Commissioned Name of Notary Public)
Personally Known_________________ or Produced______________
Identification Type of Identification Produced______________
Fl. Prob. R. 5.930