HomeMy WebLinkAbout2472 Declaration of Domicile and Citizenship
To~ c~ucoF~ caecurroov~r. `32~0~~
ST. LUC 1 E o0vrrrn. Et~otun~:
11r d aq? d~dae~dioa ot DorajdM aad CitbNabip ia tM 8tat~ vt Fiorida tb~t I ~a SW~ t6L dy in aeeoedana. aud ia
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I wn i~ a ksal ewidwt o[ ~-y~GC~GIa ~
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e~d at 7~ ~ /!~1 /^~p ~a~ - Aawewr. I 6aw ebao~ed ay domie~ie to
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aad am sad baw b~ea a boaa $d~ resid~at o[tM 8tat~ atl~'lorida siaa ~~P~ /!e dq at
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aod t6is statemeat ts to be tak~ a m~r dselaratbn o[ dt~easLip. actnal ksal raidena aAd doa~k in fbe SW,e a[ Flaids.
If fOR THE PURPOSE OF ENROLLING If fOR HOMESTEAO PURPOSESi
CHII~REN IN SCHOOL~ PLEASE STATE 'LEASE CHECKS ~
TNEIR NAMESS
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I FURT'HER CEATIF'Y tha! I w~i ngister at my local addnss whea t6e r~giatration boo8s rcopen. and eompi~ with all
other nquinmeats ot a kgal reaideat of tbis Statc. -
I FUBTHE CER1`IFY I have no iateation W return to m fora~er domiak. aad I int~end to remain in
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~ -~~~ed be[Ore me this da~ of
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~ : CLERK OF CIRCUIT COl~2T
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