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State of Florida Department of Health Office of Vital StatisticsCERTIFIED STATEMENT OF FINAL DECREE OF ADOPTION (Important Read Information and Instructions on reverse side before completion.) A.
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Information regarding original status refers to the initial status or condition of a specific entity or object.
The individual or entity responsible for the entity or object must file information regarding the original status.
Information regarding original status can be filled out by providing details about the entity or object's initial condition and any relevant background information.
The purpose of information regarding original status is to document and maintain a record of the entity or object's original condition for future reference.
The information reported on information regarding original status may include the date of establishment, initial condition, and any relevant historical data.
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2017 florida childs dh 64v obsoletes floridas remitting floridahealth suffix stepparent ext issuance adoptions attn remit remitted clarifying heretofore applicable certification amended gov pursuant petitioner registrar births adoptive fl statutes payable

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