HomeMy WebLinkAbout2825 ~~c~~~~~e~~a a~~ ~~r~~cplr~ a~~1 Ci$~~~nsh~p z
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TO TtIE CLERK OF THE C1RCUIT COUBT. . ~
sT. LuC ~ e covrrr~r, et.o~n~: .
This is my declaration ot Domicile ~nd Citizenahip in the State o[ Florida lhat I am filing this day in aceordance. and in _
conlormity with Satron 2~.17. Flocida Statute~. ' ~
I was tormcrlY a Icgal residcnt oi _ ~ . Q.' ~ and I '
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resided at fl Cf L~ However. I have ehaaged my domirile to
(Stn~t wd N bu) ~ O T~
•nd am and hevc bcca a bona tide resident ot the State ot Florida since ` dsy oi
~r~ ~ 19~ and I reside at ~ ~ ~ ~~1 ~ r' /C' ~c C ~ ~'-7
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c~ K' T/~; ~w -c f ST . ~UC ~ E c~,ocy. Florida,
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and this statement is to be taken u my declantion oi eitizenship, actuai legal residence and domicile in the Sta?te of Ftoridu.
iF F'OR TNE PURPOSE OF ENROLLING IF' fOR HOHESTEA~ PURPOSES~
CFi1LDREN IN SCHOOL~ PLEASE STA7E PLEASE CH~CK: ~
THE IR NAFSES: ~
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I FUHTIIFR CF,RTIFY that J K~ili re~;i~tcr at rny local address whcn thc registr:.tion books reopen, end cornply w"sth all
; ochcr rcl;l!I:CI:iMILS Of 8 IC~,'a'fI residcnt ot thi~ Statc. -
! I FUlti ilEL;{ CF.It'1'1 thaL I~a~e no intcntion ta rcturn to my tormcr domicilc, and I intcnd to remain is~
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