______________________ ______________________________ ________________________________
_______________________________________________________
IN THE COUNTY COURT IN AND FOR
SANTA ROSA COUNTY, FLORIDA
STATE OF FLORIDA
Vs
__________________________________ Case #: _____________________________
If you have been issued a Uniform Traffic Citation in Santa Rosa County for one of the following violations:
Operating a Motor Vehicle without a Valid Driver’s License
FS 322.03 Operating a motor vehicle without a driver’s license
FS 322.065 Driver’s license expired six (6) months or less (infraction)
FS 322.05(1) Failure to carry or display legible license (infraction)
Operating a Motor Vehicle with a License that has been Supsended
FS 322.34(1),(2) or Suspended for failure to appear or failure to pay a civil penalty
FS 322.34(10)(a) Suspended for failure to pay child support or other court financial obligations
FS 322.291 Suspended for failure to attend driver improvement school
FS 322.091 Suspended for failure to comply with attendance or other requirements for minors
Operating a Motor Vehicle without a Valid Registration
FS 320.0605 Failure to carry a valid registration certificate or lease agreement (infraction
FS 320.07 Expired motor vehicle or mobile home registration
FS 320.131 Use of Temporary tags to avoid registering a vehicle
Operating a Motor Vehicle without Valid Insurance/Security
FS 316.646 Failure to maintain required security
FS 318.14(10) allows you to elect the option of entering a plea of nolo contendere (no contest). By providing proof of
compliance with the appropriate statute to the Santa Ross County Clerk’s Office, and paying the costs, the adjudication of
guilt will be withheld by the Court and no “points” or “conviction” will be added to your driving history by the
Department of Highway Safety an Motor Vehicles (DHSMV). You are only eligible for this option once every twelve
(12) months and not more than three (3) times during your lifetime. If you sign the affidavit and are found to be ineligible
for this option, DHSMV will suspend your driver’s license and you will be required to appear in court for sentencing. You
will be required to pay a $16.00 (infraction) or $25.00 (criminal) delinquency fee and a $60.00 license reinstatement fee to
the Clerk. You may not make this election if you hold a commercial motor vehicle license.
By entering a plea of no contest in this mater, you waive the right to speedy trial, the right to an attorney, the right
to question witnesses against you and have witnesses testify on your behalf, and the right to file an appeal in this
matter
AFFIDAVIT/PLEA
I swear or affirm that I understand the provisions of FS 318.14(10) and that I am eligible for this option. I do not hold a
commercial motor vehicle license. I am not under the influence of alcohol or drugs and I freely and voluntary wish to
enter a plea of no contest against the offense of __________________________________________________________,
as charged on the citation, because it is in my best interest to do so.
Citation # Print Name Signature
Sworn before me on ______________________,20____.
Deputy Clerk, Santa Rosa County Clerk of Court
Rev.01/08/13