HomeMy WebLinkAbout1606 8~~~l~r~ui~r~~ ~o Q~~~~~~e~ Cr~~~~:n~~i~
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TO Tllw CL~:[tK 01~' TIIE CIRCUtT COURT. ~
ST. LUC 1 E___ _ CpUN1'Y. FLORInA: , .
9'hb 1s n?y dcclRr~tion o[ Domicita ~nd Citizcnship tn tho SU?to ot l~'lorid~ that i~m Cling this daY ~n accord~nco. and in ,
contorm~ty with Scetioe 2'r2.1?. Florid~ Ststutca. ' `
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1 was tarmcri a kgal rceidcnt oi yQ- and I
lp~y) lStatel
~csJded at I~owever. I have eh~egcd my domicib to
. lStrs+t.i+d N~mD.r)
~nd arri u~d h~ve bcca a bon~ tidc resident ot the St~tc oi Flurida sime ~ d~y ot
~9 - - and 1 residc at ~
lStra~t wd Numbe~l
• ST. l. ! E
~ .~~a~, ~ . County. Florid~,
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and this stalcmcnl 'u to he tnkcn u my decldration ot citizcnship. nctudl legal residcncc and domicilc in thc Slutc o[ Flurids.
IP FOR~YHE PURPOSE OP ENROLIING . ~f' i'OR HOHESYEA~ PURPOSCS~
CHiLDREN IN SCHOOL~ _PLEASE ST/lTE PLEASE CHEtK; ~
tNE IR ItANES2
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S?llUC1E COUMTY fLA.
ClE4CCCI,CUiT C URT
RECOR~ y'a;c~Ep~~~ . ~
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) FURTIIER GF.RT]FY that 1 will rcgi~tcr at my loeal address wl~en thc rcfiistr~tion boo{:s reopen. and comply with alt ~
utbcr rcquiremcnis ot a Ic~;al rc'sidcnt ot lhis Statc. i; ~j
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I F ItTll •;t ~tTIFY that I have no intcntion to return to my formcr domicile. and 1 intcnd to remain in s!
_~~t`'- ~ $7 . U G 1 E . Cc?troly. :i ~
(c?er) . - d
Florida, pcrmancoii~ . j!
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fi~~~orn lo ~i~J subs~ril~ed betut e nto ihi~ d~?y ot
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t:nGrR _pn 1 TRA Ct FRIC OF C I Rf.U I T GOU2T i
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