HomeMy WebLinkAbout2552 Declaration of Domicile and Citizenship ;
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7~0 ?H~ CI.ERR OF ?HB CIRCUIT OOURT.
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T6b M nq d~elu~tioa ot Do~akiM and Wtts~m~Aip ia tl» 8tat~ d Flo~ida tlist I am ~ tMi~ dqr ia acoordsoa. and ia
aoetoemicr .~itA s~ctoa 2~2.17, Floda. stacuta.
. I wss t~ s k~al ewid~at a~ 4:~'~ R~4~? MA~ 35 asd I
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ewW~d at 1g Sv
Ie rll~7~ ~.~-/V ~ - Howwer. I I~w ehan~sd apr domieils to
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and am aad hsve be~a a booa 8de s~aide~t ot ~M State ~~1oeWs siuo~ N~ ~~'.•M 6F~ ~i Ra T dq a[
N'i ? ,14 7~ . aad I raids at -Z ~ 3 4 %R~s~~r ~tfi ` S r2U
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aod t6is statement is to be taken as ap deelaratioa d dtisenship. aetnal ksal reaideaa ae~d doa3e~e Ia t6s 3tate a[ Flo~ida.
Ii fOR THE PURPOSE OP ENROILING Ii fOR.HOMESTEAC PURP08E~j
CNI~OREM IN SCHOOL~ PLEASE STATE '~EASE CHECKS ~
THEIR NANESt '
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fIlEO R~: ~~~yKpEa
ST. ~UCIi +;~UNTY flA.
RO;t ' : U•TRAS
' CtEfiR C ~~iT ~QURT
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. ~brr Il 3 03 PH'75
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I FURIMER CERT[b'Y tliat I ~?ill re~ister at mr loeal adde~ess when the ngistntion books reopen. and ooaepiy rrith aU
ather e~equirements of s kgal e+esident ot this State.
. I F'tJAT~B CERTIF'Y tbat I have ao intcatioa to ntwa to ~a iorn~er domicik. and I intead to remain in
i DR? 5~~ L~C/~` , ~T. LUCIE .Count~.
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~ F`lotida, perenanentt; .
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~ • 3~?orn ~6}~d~aa ,iMerib~d betore me t!w ~ ds7 ot
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~ ,"~I TRAS. CLERK OF' C IRCUI T COUtT .
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~ S'~.~ •LUG I E COUNTY, F'L.OR t O
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AGO Form T1 22
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