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TO T1iE CLBRK OF'TIIE CIEtCU1T COURT. ' ~(~•rj6~ci~ ~
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ST. Ll1C 1 E COUNTY~ FLORIDA: ~
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This is my decl~~~tion o~ Domicito ~nd Cilizcnship in the Steto ot Florida thet 1 am filing this day in aceutdance. end in . #
eonformity with Section 2~.17. Floride Ststutcs.
1 <; ~ ~ /1' ~ ~F /-Q ~ , ` ' ~ and l
1 wu formorl a lcgnl residcnt of
(~y~ (St~te)
residcd at ~S ~ ~`A ~E ~ i F_ rv~ ~V S~ ~Iowevcr. I hsvc changcd my do:nicilc to
IStreet ~nd NumDer) ~
and am and hAVC bccn a bone fidc residcnt ot the Statc o[ Florid~ aince ~ d~} of .
~ ~ ~ ' ~ .19~, and I reside nt ~ ~ ~~r ~E ~ F ~ r
(S t u~d NumEer)
~6 ~-f - S~ ~ JG/~ ' ~ ST.. .L.l7G 1 E County. Florida.
(Cie~1
nnd this statement is to be taken as my declnretion ot citizenship. actual Iegal residence and domicile in the State of Florida.
IF FOR THE PURPOSE OF ENROLLING IF FOR HOMESTEAD PURPOSES~
CHlLOREN IN SGHOOL~ PLEASE STATE PLENSE CNECK: ~
THEIR NAMES:
fILEO ~N.~ ~ECO~DEO
ST. LuC.iE :.UUNTr FIA. ~
RG~i" ~?RAS
CLERK C~~:Cti~T COL'RT
acG~RD ~E=,:+f~
~ A~R I~ i sz PM'75
3+QS~i
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; I FURT}iEit CF.itTlt'Y that I will reF;ister at my Incal address wl~en lhc~ reFistration ba+ks reu, en, and c~mply witt~ a!1
' u!6cr rcquircmrnts ot a Ic~;al rc'SIdC(iI U{ Ll~is Statc.
4 I FURT ;t 'It7'IF ' h;:t I I~a~~i• na intcntion to rc•turn to my formcr dom;cilc, and I intcarl lo rf~m:ein in
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