HomeMy WebLinkAbout2238 [?~~~~r~fion ~ og ~~micile and Citi~~nshi~
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TO THE CL~ItK OF THE C1RCUIT COURT, 314803
ST. lUC 1 E ~pUNrr. FI,pRIDA: ~ ~
Tht~ b my dcel~ntio~ ot Qomicile and Citiscnship in ths Stato ot Fforjda t?u?~ I am t~ this d~p ia ~ceordeaco. and ia ,
tontora4iyr with Section ~2.1~. Florida Statutes. ' .
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I was t rm~rl s kgal nsWcnt oi Q s~ /N / ,~e / ~ I ~
ICW! s~.c.?
restdcd a~ ~~s~ ~ ~ G - liowever, I tu~vc cbangcd m~r domieiic to
lSteMt Md Nomber) . .
•Qt~ idl ~ IIiYQ bl'ip ~ bOM t1aN !l`~dCDC O~ UIQ S~A1.0 OI FIO~i lIpCO day o[
19 ~ liand I residc aL a~ y~ ~5 f~ ~f yi? d~A~ •
(Slre~t aud nmber)
ST. ~ c i;r. ~ ST. LUG 1 E Councy. Floria..
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~nd this statcmenL is to be taken ~s m~r declaradon oi citizcnship. actual kgal resideneo and domieik in th~ Stut~ ot Floricte.
IP fOR YNE PURPOSE OP ENROLLtNG IP fOR HONESI'EAO PURPpSES~
CHILDREN tN SCNOOL~ PI.EASE STAYE ~PIEASE CHECK: ~
TNEiR NAMES:
' 7-!~ r ~ ~ ~n 3~~3 _
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7JiYJ 1 V ~/C. a a~e q,~,~~ ST. ~uc~~ couHTr F«.
M Cl PKCE~ r'OtTRAS
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I FURTIIER CERTIFY that 1 wiU regicter at my 1oca1 address whcn the registration boo~cs nwpen. and compiy with ail
othcr requirements o[ s lebal resident ot lhu Stale.
, ,1/ FUR IE;t CERTIF'Y lhal I havc no intcntion ta return to my farmcr domicilc. and I intend to remain in
i • ~n r T S~• .L ti f/ e ~ $T . L U C I E . Caunly.
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f Florida. permancmi;.
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~ Sworn lo enJ subscribed 1Mtore me ihi~ day ot 0~~,,,/ V~
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s RnGER POI TRAS, CLFRK bF C IRCUI T COU2T
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~ ST. LlK I~ COUNTY, Fl.OF21,UA
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~ ~PUTY LEItK
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