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Get Florida Statement Paternity 2006-2024

Ons on page 2) Check appropriate action: Paternity Establishment Paternity Disestablishment Yes Department of Revenue/Child Support Enforcement Action: No A. INFORMATION FROM ORIGINAL BIRTH RECORD (Attach a Photocopy or Screen Print) State of Birth: _________________________________________ Birth Number (if known): __________________________ Full Name of Child: ______________________________________________________________________ Sex: _________ (First) (Middle) (Last) Date of Birth: __.

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