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Verified Affidavit of Probable Cause

I, the undersigned affiant, a Lawful Man or Woman over the age of majority, not enlisted or commissioned in any
military service, competent to testify to and having first-hand personal knowledge of the facts, in good faith, with
no malice or intent of improper purpose such as to mislead, intimidate, harass, cause unnecessary delay, or
increase litigation cost, and under penalty of perjury under the laws of the United States of America and the below
identified State, do hereby timely certify the following averments as materially true, accurate, correct, and
complete, to wit: that I know and witnessed the events set forth below regarding the Target, circumstances, date,
time, location, Case #, and as further delineated.
Case # _____________________________ Date: _________________ Time: ________ AM PM Floor: _____ Room:
______

Address/Location:
_____________________________________________________________________________________

Target Public Employee Name ___________________________________________________________ Badge #


___________

I believe the Target violated the following Florida Statues and laws. See supporting narrative marked Other.
Common Law Fraud (a material false statement made 838.12 Bribery in athletic contests.
with an intent to deceive, a victims reliance on the 838.15 Commercial bribe receiving.
statement, and damages) 838.16 Commercial bribery.
760.51 Violation of Constitutional rights; threats, 838.21 Disclosure or use of confidential criminal justice
intimidation information.
775.0875 Unlawful taking, possession, or use of law 839.04 County officers not to speculate in county
enforcement officer's firearm; crime reclassification; warrants or certificates.
penalties. 839.05 Municipal officers not to speculate in municipal
775.31 Facilitating or furthering terrorism; felony or scrip.
misdemeanor reclassification. 839.06 Collectors not to deal in warrants, etc.; removal.
782.04 Murder. 839.11 Extortion by officers of the state.
782.051 Attempted felony murder. 839.12 Officer failing to keep record of costs.
782.07 Manslaughter; aggravated manslaughter of an 839.13 Falsifying records.
elderly person or disabled adult; aggravated 839.14 Officer withholding records from successor.
manslaughter of a child; aggravated manslaughter of an 839.15 Judicial officer withholding records.
officer, a firefighter, an emergency medical technician, 839.16 Fraud of clerk in drawing jury.
or a paramedic. 839.17 Misappropriation of moneys by commissioners
782.071 Vehicular homicide. to make sales.
782.072 Vessel homicide. 839.18 Penalty for officer assuming to act before
784.011 Assault. qualification.
784.021 Aggravated assault. 839.19 Failure to execute process generally.
784.03 Battery; felony battery. 839.20 Refusal to execute criminal process.
784.045 Aggravated battery. 839.21 Refusal to receive prisoner.
784.048 Stalking; definitions; penalties. 839.23 Officer taking insufficient bail.
784.05 Culpable negligence. 839.24 Penalty for failure to perform duty required of
787.05 Unlawfully obtaining labor or services. officer.
787.06 Kidnapping, slavery, false imprisonment, human 839.26 Misuse of confidential information.
trafficking. 843.06 Neglect or refusal to aid peace officers.
800.02 Unnatural and lascivious act. 843.08 Falsely personating officer, etc.
800.03 Exposure of sexual organs. 843.085 Unlawful use of police badges or other indicia
800.04 Lewd or lascivious offenses committed upon or of authority.
in the presence of persons less than 16 years of age. 843.0855 Criminal actions under color of law or through
810.08 Trespass in structure or conveyance. use of simulated legal process.
810.09 Trespass on property other than structure or 843.14 Compounding felony.
conveyance. 876.05 Public employees; oath.
810.095 Trespass on school property with firearm or 876.06 Discharge for refusal to execute.
other weapon prohibited. 876.07 Oath as prerequisite to qualification for public
810.097 Trespass upon grounds or facilities of a school; office.
penalties; arrest. 876.08 Penalty for not discharging.
817.155 Matters within jurisdiction of Department of 876.09 Scope of law.
State; false, fictitious, or fraudulent acts, statements, 876.10 False oath; penalty.
and representations prohibited; penalty; statute of 876.32 Treason.
limitations. 876.33 Misprision of treason.
817.29 Cheating. 876.34 Combination to usurp government.
817.49 False reports of commission of crimes; penalty. 876.35 Combination against part of the people of the
817.568 Criminal use of personal identification state.
information. 876.36 Inciting insurrection.
817.5681 Breach of security concerning confidential 876.37 Sabotage prevention law; definitions.
personal information in third-party possession; 876.38 Intentional injury to or interference with
administrative penalties. property.
817.569 Criminal use of a public record or public records 876.40 Attempts.
information; penalties. 876.41 Conspirators.
837.012 Perjury when not in an official proceeding. 876.42 Witnesses' privileges.
837.02 Perjury in official proceedings. 876.43 Unlawful entry on property.
837.021 Perjury by contradictory statements. 876.44 Questioning and detaining suspected persons.
837.05 False reports to law enforcement authorities. 876.45 Closing and restricting use of highway.
837.055 False information to law enforcement during 876.46 Penalty for going upon closed or restricted
investigation. highway.
837.06 False official statements. 895.02 Racketeering Definitions. (RICO)
838.015 Bribery. 895.03 Prohibited activities and defense. (RICO)
838.016 Unlawful compensation or reward for official 895.04 Criminal penalties and alternative fine. (RICO)
behavior. 914.22 Tampering with a witness, victim, or informant.
838.021 Corruption by threat against public servant. 914.23 Retaliating against a witness, victim, or
838.022 Official misconduct. informant.
918.12 Tampering with jurors. 918.13 Tampering with or fabricating physical evidence.

Other:

Affiant says nothing further. Signed and sealed with all rights reserved.
_____________________________________ _____________________________ __________
Executed by Affiant - Signature with All Rights Reserved Affiant Printed Name On this Date

_____________________________________________________________________________
Affiants Mailing Address

----- Jurat - - - - -
STATE OF ________________________
COUNTY OF ________________________
Sworn to (or affirmed) and subscribed before me on ___ (day) ___________ (month), ______ (year) by the Affiant
identified above, personally known, or produced identification of type ____________________.

(Notary Seal) ______________________________________________________________


Notary or First Witness Signature

______________________________________________________________________________
Notary or First Witness Name

_____________________________________________________________________________
First Witnesss Mailing Address

________________________________________ ____________________________________
Second Witness Signature with All Rights Reserved Witness Name

_____________________________________________________________________________
Second Witnesss Mailing Address

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