IN THE CIRCUIT COURT OF THE TWENTIETH JUDICIAL CIRCUIT IN AND FOR

LEE COUNTY, FLORIDA CRIMINAL ACTION

STATE OF FLORIDA,
Plaintiff,
v. CASE NO. 22-CF-000141
SANTIAGO RAMIREZ, JR.,
Defendant,
_____________________________/

AFFIDAVIT

1. My name is . My address is . My date of birth is .

2. I know the Defendant. We have had a relationship together. I do not want to press charges against the
Defendant. I am not afraid of the Defendant. I will not cooperate with the State to prosecute the Defendant.
3. The police report was embellished and does not represent the full truth.
4. No one has coerced me or threatened me to give this statement. I do this statement voluntarily. I am not
with him as I sign this statement.

I HEREBY SWEAR OR AFFIRM THAT THE ABOVE STATEMENT IS CORRECT AND TRUTHFUL.

Signature______________________________________

STATE OF FLORIDA
COUNTY OF LEE

Sworn to (or affirmed) and subscribed before me by means of [_] physical presence or [_] online
notarization, this day of by

_________________________________________
(Signature of Notary Public, State of Florida)

_________________________________________
(Name of Notary Typed, Printed, or Stamped)
( NOTARY SEAL)

Personally Known ______ OR Produced Identification _______

Type of Identification Produced_______________________________________________

HEREBY CERTIFY that a true and correct copy of the foregoing has been furnished by electronic
delivery to this day of , .