HomeMy WebLinkAbout2199 .
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Declaratron of Dom~c~le and C~t~~ensh~p
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TO THE CLEAK OF THE CIRCUIT OOUItT. .
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Thi. b ny? aect.r.cion ot Domieiis .aa ciciuaship ia cne st.te or Flaa~ia. tha! t sm sl~a tM. ap? Is .aooraa„oe. sna in
~oatoe~a~ity .~ch se~cton 22za~. Florida sacute..
i w~as t~ s leaa! resident at ~i /~1 /-~~~/I ~ , _ ~ / /t/.~ G~~ aud I .
e+yided st 1~/~ff ~//tJ C,. IC.~71 lee~e.f
IBa~t aad N..rt«rl - Howrver. I haw ebaaaed m~r domiei7e to ~
aad am aad have been a bon~ fide reaideAt oitbe Stste of F1o~ida sinos ~ dq ot
~C~! - !9~ aad I:+eside at ~ v
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ST LUG I E ~„t~,
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and tAis statemeat is to be laken as m,~r deeLntion ad dti~oenship. adual kgal eesidenae and doa~ in the State ot Florids. -
IF POR THE PURPOSE Of ENROLLING ~f i0R HONESTEAO PURPOSES~
CHIIDREN IN SCHOOL~ PIEASE STATE PLEASE CHECK:
THE IR NAMES2 ~ ~_~_j
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ST tUCtE COUMTY F~j.
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C~E~K Ct:,~~li COURT
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I FURTHEB CER1`tFY tbat I.vc~t r~gister ai my local sddress whea the registration boob rcopen, and eompl~ with all
. other requirements oi a legal resident of Lhis State.
I F'i~ h t have no intention Lo nturn to my fornner domicile. aad I intead to remsin in
~~,L ~ ST . L UC i E ~ County~
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Fbsida, permanente; . ~
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Sworn to and subseribed before me this dsy of '
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ROGER P01 TRAS, CLERK Of C tRCUt T COl~2T ~ ;
ST. LUC E COUNTY, FLORIUA ~
BY: o~-u~~ ~~C~~'c.1~~
EPUTY LERK
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~ 8~~44 ~2~9~9
AC,Q Form 71 22
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