AOC 005 (Rev. 03/15) Military Service Affidavit

AOC 005 (Rev. 03/15) Military Service Affidavit

SEMINOLE TRIAL COURT

Seminole Tribe of Florida

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Plaintiff

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vs.

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Defendant

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____________________________________________

Case No.

AFFIDAVIT OF MILITARY SERVICE

I, {full legal name} _____________________________________________________, am the

Petitioner in this case. To support my application for a default judgment and to comply with the

Servicemembers Civil Relief Act (formerly known as Soldiers’ and Sailors’ Civil Relief Act of 1940), I swear

or affirm that the following information is true:

[please check only one]

1.

___ I know of my own personal knowledge that the Respondent IS on active duty in the military service of

the United States.

2. __ I know of my own personal knowledge that Respondent IS NOT now on active duty in the military

service of the United States, nor has the Respondent been on active military service of the United States

within a period of thirty (30) days immediately before this date. “Active Service” includes reserve

members of the Army, Navy, Air Force, Coast Guard, and Marines who have been ordered to report for

active duty and members of the Florida National Guard who have been ordered to report to active duty for

a period of more than thirty (30) days.

3. ___ I have contacted the military services of the United States and the U.S. Public Health Service and have

obtained certificates showing that the Respondent is not on active duty status. These certificates are

attached.

4. ___ I have attempted to determine the military status of the Respondent, but do not have sufficient

information. This is what I have done to determine whether or not Respondent is on active duty in the

United States military:

5. ___ I have no reason to believe that she/he is on active duty at this

time.

I understand that I am swearing or affirming under oath to the truthfulness of the claims

made in this affidavit and that the punishment for knowingly making a false statement includes

fines and/or imprisonment.

Dated: _______________________

___________________________________

Signature of Petitioner

Name:

Address:

City:

State:

Zip Code:

Telephone Number:

Email Address(es):

AOC 005 (Rev. 03/15) Military Service Affidavit (page 2)

STATE OF FLORIDA

COUNTY OF_______________________

Sworn to or affirmed and signed before me on ___________ by __________________________________.

____________________________________________

NOTARY PUBLIC or DEPUTY CLERK

_____________________________________________

[Print, type, or stamp commissioned name of notary or clerk.]

___ Personally known

___ Produced identification

___ Type of identification produced ____________________________________.

IF A NONLAWYER HELPED YOU FILL OUT THIS FORM, HE/SHE MUST FILL IN THE BLANKS

BELOW: [fill in all blanks]

I, {full legal name and trade name of nonlawyer}, __________________________________________,

a nonlawyer, whose address is {street} _________________________________________________,

{city} ______________________________________, {state} _______________, {zip}__________

{phone}________________, helped {name} ________________________________________________, who

is the petitioner, fill out this form.

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