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