HomeMy WebLinkAbout0205 . • ~
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TO TliF C[.EItK OF 17i~ CIRCUR CaURT.
STS LUG 1 E CpUN1'y~ }-4pRIDA:
• T6is is m~ dcelustioo of I1o~nic~7e tad CitiucnsAip ia the State o! F7orids that I am ti1'a~ tbia da~ ia aamdaaee. and in
-to~afotmity vritA Seelion 2L.".17. F'brids Statu~s.
' ~~~~o~.kR,,~pt~ ~''~.rrril'~.~.~GE ~ ~ N.~1~? ~RSEy,~al ~
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resitkd at 7" •3 7/Y O~i9PiC E/~?~ liowcre~. I ba~re elunged ~ay domicik W
(Strest ud NrmEctl •
aad un and luvc been a bona Gde resideat otthe State oi Fbrida sincc I D `.Z 7 J ~r ~
I9,~ aad I teside at S a~ T
1~DR~T ,ST !/G~E ~ _ sT. LuG~ ~`•aara~r~
tfiv~ C~t~. F1w;d..
and tbis s4tcmeat is to be takro as my dalaration ot citiues6ip, utual lega! residenoe and domia~ ia the State ot Fbrida.
• If fOR THE PURPOSE OP ENROLLlNG IP fOR HOMESTEIID PURPOSES~
CHILOREN 1N SCHOOL~ P~EASE STATE PLEASE CHECKS ~
- THEIR NANES: •
~ 3~~3
- F LEO aky Hf~oRpED
. . a~ ~ucrF coukrr Fu.
, ~ ROG~~ ?JItFtAS
CCE~F C,";;~tT COURT
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• I FUR1
FiF,R CERTIFY that I vn71 register at mp loea! address when tbe registratioa books r+~open, and complJ .ri:h aU
• ot6cr requiremenis ot a kgal resident of thu State. ~
I FURTIIE.t CE FY that 1 lsave no intratioe~ to return to mr former domicik, sad 1 iatcnd ~ W rrmiin in
~D /FT ~T .G !/G _ $T . LUC 1 E Couatr•
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Fbrida. permanenti;. . • ~
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S~rorn to and subxerT~ed betorc mc this day of ~e T ST ~C v G/E
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~ ROGER P01 TRAS, CLERK OF C iRCUI T COtJR~' ~
• ST, L COUNTY, FLORIUA .
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