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~clarat~on, of Dom~cite and C~t~zensh~p r
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TO TAE CI.EAtK oF 7PHE CutCUiT CoURT. -
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This ts nq deetaratioa ot D~omie~7e ~nd tSt~sea.thip ia Uie &ate ot Ffc~ida tbat I am Slias this d~ in a~eoo~danee. aad iA
~eoetormicy .vftt~ seecioa r1z.17. Fbr;aa statuce,. .
I aas to~nerlY a kga! resident d _____1~fd.~ • and I
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iesided st ~ •t?'~ 'J 8owever. I As~re d~ae~ed a~ domidle to
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amd sm and 6a~e been a booa fide naidcnt ot t~ Stat+e ot Flotida sinoe da~ at
Oc ~i e~?- . is.~'~".na i~;a. sc
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' Ii. ~ G Er ST. LUG 1 E Gonat~. t~7orids.
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aad t1w statement is to be taken as m~r dceLration ot eiti~ensLip. ~etw1 iegai re~denoe and domia7e ia tbe Stat~e at Flasida.
IF FOR THE PURPOSE Of ENROLIING Ii iOR HOMESTEAD PURPOSES~
CHILDREN IN SCHOOL~ PLEASE STATE P~EASE CHECK: ~
THEIR NAMESt
FILEQ ~t,•~ r-CCRDEO
. ST. IUCt, '~~.~NT1' FU.
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P~ CIE~R C ,~iJIT COUAT
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I FURTHER CEK1`IFY that I will register st my' local address when the ngisUatioa books reapen, and oanplp ~?ith aU
other r~qairemenis oi a legal resident of this State. ~
I FUR lt~ that I have no u?tention to return to m fortAer domia7e. and I intend to remain in
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P~''G L~° ~T ~ L U G 1 E - Couaty.
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Florida. permanen~; . -
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Swom to aad subxn'bed beforo me this ~ day oi Y'~C j~ ~~Q ~j~~
_.Sr. b e . A.D.19 7•~
ROGER PDi TRAS, CLERK OF C IRCUI T COt~2T
ST. lUG1E GOUNTY, fLOR1,0A
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EP Y ~ERK
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