HomeMy WebLinkAbout2239 Q~c@~ration of ~~micile and Ci~a~~nshi
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TO THE CLkRK 0~ THE CIRCUIT COURT. ~1~~
ST. LIJC 1 E ~pvNry~ ~'t,ORIDA:
Tfiis ts m~r deef~ration ot Do~nkife and CiUsen~hip in the State ot Fbrida lhat t am pina tht~ dyr in aceordanee. ut~d ia .
eoatarraily with Section 7.'Z.17. Florida 5tatulea. - '
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I was torm~orlY a lcgd res&lont o! 1 C~~,•~ ~ 1~~ ~ L ~ . and I
1Cit7I 0 l8tsc~
residcd ~t _1 3:~ /~i~ + ~'i ~ lV .C. ~ nJ G - 2lowevice. I lu~vo ebaaged m~? domicile to
1&t~s~t aud NmoDx) •
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•ad un ~d havc bccn a bona (Idc resfdent ot the St~to ot Florida slnce dy? oi ~
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- and 1 restde at 'tf ~ ~ ~~>~_~.p-.
/1 n~ f~ IStre.t and Nwnb.r)
~t~~ ~ e~Ci ~ ST . LUG 1 E
tAt71 County, Florida.
~nd tbis statement is to be taken as m~r declaration of citizcnship, actual legal residenee and domieile in the Statc ot Florida.
IP fOR THE PURPOSE OP•ENROLLtNG IP POR NOHESTEAO PURPOSE5~
CNIL~REN IN SCHOOL~ P~EASE STATE P~EASE CHEC~2 ~
tNE1R MANES:
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CtER~c C:rCU~T ~pURt
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I I~'URT}IER CERTIFY that ] will register at my loca) address whcn lhe rcgistration books reopcn. and comply with all
! olhcr requircments of a Ic~;al resident of lhis State.
~i 1 FURTI~R CE~,tTIFY at I hav no inlention ta rcluru 1o my . farmer domicilc. and 1 intend to remain in '
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Florida. pcrmanenii;.
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~ Sworn to nnd svlrc~ril,cd 1?cto~o me lhis ___f_~C d~?y oI Y' c~_
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f.PUTY LE(iK
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