Fillable Request for Domestic Partnership Registration Wallet Cards (Clerk of the Circuit Court & Comptroller, Palm Beach County)

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Request for Domestic Partnership Registration Wallet Cards (Clerk of the Circuit Court & Comptroller, Palm Beach County)

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The Request for Domestic Partnership Registration Wallet Cards (Clerk of the Circuit Court & Comptroller, Palm Beach County) form is 1 page long and contains:

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  • 25 other fields

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BROWSE CLERK OF THE CIRCUIT COURT & COMPTROLLER, PALM BEACH COUNTY FORMS

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Request for Domestic Partnership Registration
Wallet Cards
INSTRUCTIONS
Return completed form and payment to:
Clerk of the Circuit Court & Comptroller, Palm Beach County
205 N. Dixie Hwy, Room 4.2500
P.O. Box 4177
West Palm Beach, FL 33402
Phone: 561.355.6214
www.mypalmbeachclerk.com
Clerkweb@mypalmbeachclerk.com
FEES
• Please fill out the quantity requested for the Number of Sets and Tax.
The cost for a set with Postage is $6.35 ($5.00 + $0.35 + $1.00).
QTY
Cost
Total
Number of Sets
$5.00
$
Tax
$0.35
$
Postage
$
1.00
Total
$
• Make Check Payable to: Joseph Abruzzo, Clerk of the Circuit Court & Comptroller
REQUESTING PARTY NAME AND CONTACT INFORMATION
Requestor’s name:
Date:
E-mail address:
Phone Number:
Mailing address:
City:
State: Zip:
REQUEST FOR DOMESTIC PARTNERSHIP REGISTRATION WALLET CARDS OF THE FOLLOWING OFFICIAL
RECORD DOCUMENT
DOCUMENT TYPE CFN* BOOK/PAGE*
*Please visit our website at www.mypalmbeachclerk.com, Official Records, to locate your documents.
Requestor’s Signature: Date:
Date Request Received by Recording SIA:
Processed by Deputy Clerk:
Created 01/05/21
$ 5.00
0.00
0
$ 0.35
0.00
1.00
1.00
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Request for Domestic Partnership Registration Wallet Cards (Clerk of the Circuit Court & Comptroller, Palm Beach County)

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Completed 5 July 2021

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