n 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

on my offense/dealgnation, to the sheriffs office in the county in which I reside or am otherwise located to reregister, unless otherwise notified by FOLE.{F.S. 943.0435(14XaMb); 775.21(8X')). FAILURE TO REPORT THIS INFORMATION IS A THIRD DEGREE FELONY. Pope 5 of. 2917-01-0s 3.17 19 PM EFTA00098598 Reg