A general affidavit form can help make sure you have all the necessary information to make the document valid. ______ I certify that I have been convicted of a felony.List offense, date of conviction,. IT IS IMPORTANT TO INCLUDE YOUR NAME, ADDRESS AND TELEPHONE NUMBER ON EVERY DOCUMENT YOU FILE WITH THE COURT. Overview. STATE OF FLORIDA: COUNTY OF BROWARD: BEFORE ME, the undersigned authority, personally appeared. Who, upon first being duly sworn, deposes and says:.