HomeMy WebLinkAbout2223 ~ i f
Q~c~~ra~~on c~f Damicii~ an~1 Citi~~nship
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TO THE CL~;RK OR THE CIRCUIT COUItT. ~ ~4~ .
ST ~ L UC 1 E ~pUNTy. FI,pRIDAs ~ , - .
Tl~ts b mr deelatyttio4 ot Uoa~tci{o and CiUsonship in tl~e S1ato ot F'lorida that 1 ua t~it~ this dyr in accosdanco. and ia ,
co~totmit~r witb Srctioa Y22.17. Florida Statules.
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1 was I rmcrl a kgal residoat of •
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resjdcd at .T_T - l~owever, I h~?vo ebanged my domicilo to .
tst~wt Md NomDer)
u,d am aad Aavc bccn a boiu fidc resideat of the Stato ot Fbrida stace day ot
• ._.19.~s~. and 1 reside at ~ j~~ ~ 9 ~ •
• ( asd Number)
. • ST. LUC i E Countr, Ftorida,
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aad this statement is to be talc~n as my decluatton of citizensbip. aclual kgal residenee aAd domicile in the SU?te ot Florids.
IP F'OR 7HE PURPOSE OF ENROILING . IP fOR HONESTE/10 PURPOSES~
CHII.~REN IN SCHOOI~ P~EASE STAtE PLEASE CHECKS ~
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I FURTIICR CERTIFY that I will regi~ter aL my loca! address when the rcgistration books reopcn. snd corr.ply .+ith a0
othcr rcquiremPnls o( a lcgal resident of this Slate: ~
1 FURTIIC~ CERTIF'Y that I havc po intcntion to rclurn to my formcr domicile, and 1 intcnd to remlin in
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~ ~:c1~aj9~~{~0 ~irdl sul~~~beiota m~ ihis !_,e~ day of
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~ Rn~f~t!t~~~ TRAS„ CL~RK OF C IRC.UI T COU~T
~ ST. LUCIL COUNTY, FL.ORiUA
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