Registration No: 1026221 Person Number: 73274 5. Of Each transient time my residence driver license or change or identification card is subject to renewal, or within 48 hours after any change in my permanent, temporary. in name made by marriage or other legal prr'cs, to update my driver license or I MUST report ii_npersion to a driver license office identified in #3 above. III am unable identification card and ensure that the driver license or identification card displays the designations as of my residence or name within 48 to secure or update a driver license or identification card with DHSMV, I must also report any change confirmation that hours after the change to the sheriffs office in the county where I reside or am located and provide I reported the information to DHSMV. Thug reporting requirernendoNOtnegatetSrequImmentfpm Florida driver license or identification to i38ain a card as required by this section.(F.S. 943.0435(4)(a): 775.21(6)(g)1.). FAILURE TO MAINTAIN, ACQUIRE, OR RENEW A DRIVER LICENSE OR ID CARD AS REQUIRED IS A THIRD DEGREE FELONY. 6. the If I am name, enrolled address or employed, and county whether of for compensation or as a volunteer at an institution of higher education in Florida. I MUST provide Each change in enrollment, volunteer, each institution including each campus attended, and my enrollment. volunteer. or employment status. system maintained by or employment status. i.e. commencement or termination, MUST be reported using the online status. OR. if I am on supervision the Florida with Department of Law Enforcement or in person at the sheriffs office within 48 hours after any change in after any change in status. the Florida DOC or DJ.), this information MUST be reported to my probation officer within 48 hours (F.S. 943.0435(2Xb)2.; 943.0435(14Xc)2.; 775.21(6Xa)1.b.: 77521(8Xa)2.}. FAILURE TO REPORT THIS INFORMATION WITHIN 48 HOURS IS A THIRD DEGREE FELONY. 7. I within MUST 48 report hours all of changes any change to home telephone numbers and cellular telephone numbers, Including added and deleted numbers or in person at In the information using the online system maintained by the Florida Department of Law Enforcement probation officer the within sheriffs 48 hours office. of any OR, if I am on supervision with the Florida DOC or DJJ. this information MUST be reported to my change. {F.S. 943.0435(4Xe)2.: 775.21(6)(g)5.b.}. FAILURE TO REPORT THIS INFORMATION WITHIN 48 HOURS IS A THIRD DEGREE FELONY. 8. I MUST report all changes to employment maintained by the Florida Department Information within 48 hours of any change In the Information using the online system DOC or DJJ• of Law Enforcement or in person at the sheriffs office. OR, if I am on supervision with the Florida this information MUST be reported (g)5.b.}. to my probation officer within 48 hours of any change. (F.S 943 0435(4)(e)2.; 775.21(6) FAILURE TO REPORT THIS INFORMATION WITHIN 48 HOURS IS A THIRD DEGREE FELONY. 9. FAILURE I MUST report TO REPORT any changes in vehicles owned within 48 hours in person at the sheriffs office (F.S. 943.0435(2)(b)3.: 77521(6)(01.c.). THIS INFORMATION WITHIN 48 HOURS IS A THIRD DEGREE FELONY. 10. If I vacate a permanent, temporary. or transient residence, arid do not have another permanent, MUST report in person temporary, or transient residence, I FAILURE TO REPORT to the sheriffs office in the county where I am located within 48 hours (F.S. 943.0435(4kb)1.; 775.21(61(9)2.a.). THIS INFORMATION WITHIN 48 HOURS IS A THIRD DEGREE FELONY. 11. If to I the report Sheriffs that I have Office vacated where a permanent, temporary, or transient residence and then remain at that residence. I MUST report In person 943.0435(4Kc); 775.21(6X9)3.}. I reported vacating my residence. Failure to report this information is a felony of the second degree. (F.S. FAILURE TO REPORT THIS INFORMATION IS A SECOND DEGREE FELONY. 12. I understand that my address may be verified by county, state. or local law enforcement agencies. (F.S. 943.0435(6): 775.21(8)). 13. If of I Florida. intend on I MUST establishing report a permanent, temporary, or transient residence in another state, jurisdiction. or country other than the State intend to leave this state In pers_on to the sheriffs office in the county of my current residence within 48 hours before the date that I the intended residence of to 5 establish days or more residence in another state, or jurisdiction, or at least 21 days before my planned departure date if country of is outside of the United States. I MUST provide the address. municipality. county. state, and departure and intended return residence. dates, For international travel I MUST also provide my travel information, including, but not limited to. expected know of my flight number, airport of departure. cruise port of departure, or any other means of intended travel. If I do not the county of travel my current outside of the United States 21 days before my departure date, then I MUST report In person to the shenff s office in residence as soon as possible before my departure.(F.S. 943.0435(7): 775.21(6)(i)). FAILURE TO REPORT THIS INFORMATION IS A THIRD DEGREE FELONY, 14. If another I intend country, to establish and a permanent, temporary, or transient residence in another state or jurisdiction other than the State of Florida, or of leaving the state within later 48 decide hours to after remain in this state. I MUST report ta_person to the sheriffs office to which I reported my intention the intended departure date. (F.S. 943.0435(8); 775.21(6)0)). FAILURE TO REPORT THIS INFORMATION IS A SECOND DEGREE FELONY. 15. I four MUST times report per In year pejsgn (once either during tiro Downer year (during the month of my birth and during the 6th month following my birth month) or the month of my birth and every 3rd month thereafter). dependingimon my_offen”ktesIgN_Ilon. 943.0435(14)(a)-(bfi to the sheriff's office 775 in the county in which I reside or am otherwise located to reregister, unless otherwise notified by FOLE.{F.S. 21(81(a/ FAILURE TO REPORT THIS INFORMATION IS A THIRD DEGREE FELONY. Page 5 of 6 ni4-01-04 aigla Aµ EFTA00313899