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ate 0 Moving from another state to permanently establish a residence in Florida Visiting from another state and establishing a to wrndry address in Ronda El Oiler (please desaibe): Otto of Oopiou10. Da* of Snivel: we be permanently leaving donde to maintain his immanent residence in die us swgin wa
fficer Name: Phone. ( ) Cc my Out of State Travel information (Complete if permanent or temporary address Is out of state) 0 Permanently leaving Ronda to establish a residence in another state 0 Temporarily leaving Florida to visit another state 0 Moving from another state to permanently establish
704 FDLE Florida Department of Law Enforcement Richard L. Swearingen Commissioner STATE OF FLORIDA COUNTY OF LEON Criminal Investigatkns and Forensic Science Services Ron DeSantis, Governor Enforcement and Investigative Support Ashley Moody, Attorney General Post Office Box 1489 Jimmy Patron's. Chief Financial
0 Moving from another state to permanently establish a residence in Florida 0 Visiting from another state and establishing a temporary address I Ronda 0 Other (please describe): Date of Depertire: Date of Arrival: 0m0512019 Current Permanent Address Future Permanent Address 358 El DrIllo Way
57 FDLE Florida Department of Law Enforcement Richard L. Swearingen Commissioner STATE OF FLORIDA COUNTY OF LEON Criminal investigations and Forensic Science Services Ron DeSantis, Governor Enforcement and Investigative Support Ashley Moody, Attorney General Post Office Box 1489 Jimmy Patronis, Chief Financial
Registrant Information Name. JEFFREY E EPSTEIN (Fria Middle Last Suffix) 'MSclouse Ca your Social Security Number (SSN) is mandatory pursuant to Ronda law. sections 77521.943.0435. 944.607. 985.481. F.S.. and federal law. 12 USC 16901. et sec use of your SSN le for the purposes of dantication POLE
627 FDLE Florida Department of Law Enforcement Richard L. Swearingen Commissioner STATE OF FLORIDA COUNTY OF LEON Criminal Investigadons and Forensic Science Services Ron DeSantis, Governor Enforcement and Investigative Support Ashley Moody, Attorney General Post Office Box 1489 Jimmy Patronis, Chief Financial
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