HomeMy WebLinkAbout2017 . 3~739
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~ Dectaration of Domicile and Citizenship
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ST. LUC 1 E apv~y~ ~p~p~
T!~ l~ ayr deeiac~tioe ot D~omleiM aod Cfe~aLLlp Ia tM State ot I~`lorids tAat I ~s tWn~ tAis dy ia a~oeoe~dasa. aa~i ia .
aoatactaitr wftA Ssetlon 228.17. J~'forjda Statut~. . .
I was i~e a legal raideat oi ~R ~ ~r~ l~ ~11 sad i ,
raided st ~ O ~Y' ~ ~l~. t~ - Howtwr. t liaw e~sapd a~r domia'Ie to
I~Nt aM N~! . - .
ae~d aaa ~ad ha~~ beea ~ boAa Bd~ reddent ot tQe State a[ FbcWa Wnoe ~ d;l? o~
~ e u car 7S _„d I~. u 35 3~~ores'~t..
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aod thb statement L to be tat~a as ~r daelaratios oi dtisens6ip. actwl te6a1 resideae~ aa! domieile L~ ths StaL~ at Ftocida.
If FOR THE PURPOSE OP ENROLIING IP iOR HOMESTEAO PURPOSES~
tHILDREN IN SCHOOI~ PLEASE 3TATE ' rLEASE CHECKS
THEIR NAMESt -
n1~..lani e D~wn Sm
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CiEfin t i:,CV~~ COURT t~ •
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NOY ~Z ~ ~ 32 ~ ',5
3~39 .
I FU~R CE~iTIFY tha! I an71 r st m loal address when tbe •
registe y *e8istrution books reopen. and cwapl~ with•all
otber requirernents ot a legal resideat ot this State.
I F~ C~~htL L' 1 Ye no inteation !o return to S T•r
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t~. and I intend W redoaiA ia
• . - . County.
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Fbrida. Perntanenci; .
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~ ~-~.~t~to`~tiubscn'hed before me this ~ ~ ~r ot
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ROGER P01 TRAS. CL.ERK OF C IRCUI T CO1~2T .
ST. Li1C 1 E COUNTY, FLOR 1 OA
BY s ~ ~
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EPU LERK '
~ eoox 245 p~E2014
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