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Get FL 12.902(d) 2010

Name, place of birth, birth date, and sex of each child; the present address, periods of residence, and places where each child has lived within the past five (5) years; and the name, present address, and relationship to the child of each person with whom the child has lived during that time are: THE FOLLOWING INFORMATION IS TRUE ABOUT CHILD # Child s Full Legal Name: Place of Birth: Date of Birth: 1 : Sex: Child s Residence for the past 5 years: Dates (From/To) Address (including city.

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