STATE OF
COUNTY OF
Before me, the undersigned authority, personally appeared (agent) ("Affiant") by the means specified herein, who swore or affirmed that:
(Affiant)
Sworn to (or affirmed) and subscribed before me by means of [] physical presence or [] online notarization this day of (month) , (year) , by (name of person making statement) .
(Signature of Notary Public)
(Print, Type, or Stamp Commissioned Name of Notary Public)
Personally Known OR Produced Identification
(Type of Identification Produced)
Fla. Stat. § 709.2119