Affidavit of Non-Ownership STATE OF FLORIDA, COUNTY OFCOMES NOWwho, after being first duly sworn by me, deposes and says as follows: 1) That my name isand I reside at2) That, on, I did not own an operable motor vehicle subject to the Florida No Fault law. Further Affiant sayeth not. AffiantThe foregoing Affidavit was acknowledged before me thisday of2013 bywhowho is personally known to me orwho produced ID / DL #ID / DL #NOTARY PUBLIC, STATE OF FLORIDA
