HomeMy WebLinkAbout0670 I~~~~ar~•~~~~e ~fi ~~m~c~l~ ar~~ ~~~~x~r~shi~
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TO THE CLERK OF THE C1BCUIT COURT. -
ST. LUG I E CpUNT~; FLOAIDA: -
Th~s is my declaretion o[ Aomieile and Citizcnship in the State ot florida that I am filing this dsy in accorda~ce. ~nd in
eontormity witA Scction 271.17~ Florida StatuC~3.-=- ~ ' ~
I was tormcrly a leg~ re~idcnt oI ~.Q~' - I°'~ . ~~~a r~~~ and I
. ICit7f IStat~1
'~'~'~*a N° P°~ N~~ - . Iiowevcr. I havc changed my domicilc to
(Stee+t aad Nu~aEer) •
and am and have bccn a bona fide reside~! of the Si~te of Florida sir.ce _ day o! ,
19~'? , and I reside at ? q~`{ o ~ c ~ o--~~ ~A•.•p!
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_ z~ r crZ - ST . L lJC I E County. Florids,
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and this statement is to be taken u my decl~ration ot citizenship. actual le~al residence a~d domicile in the Ststc o[ Floride.
IF F'OR THE PURPOSE OF ENROLLING IF FOR HONESTEAO PURPOSES~
CHlL~RE:V IN SCHOOL~ PLEASE STATE `P~EASE CHECK: ~
TNE i R hA1~tE5:
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I FiJ1{TliElt CF.RTII~'Y that 1«•ili register at my local address x•hen the reb~str..tion boo}:s reop~n, nnd complp with a!I
c.ther rey~ire~nents ot a irga! residr;.t of this State.
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I FUR' ll ({k,lt'1'IF'Y that 1 hav~ t~o intentirn to rMurn to my form~r dornicilc, and 1 irttend to n m: in in
; - :e' ~ csi- - ST ~_L UC 1 E (:ounty.
(Citr) _
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