e where I reported vacating my residence. Failure to report this information is a felony of the second degree. (F.S. 943.0435(4)(c); 775.21(6Xg)3). Par sae 20 t4-05-1222,21 PM EFTA00098654 Registration No: 605414 Person Number: 73274 9. I understand that my address will be verified by county, state