HomeMy WebLinkAbout2851 Deciaration of Domicile and Citiz~n~hi
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TO T~E CI.ERK QR TH~ CIRClJ1T OOUIiT.
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11iM d aqr dalarstioa o~ Doaiieir sod ~ is tl~ 8~at~ o~ 1~loeid~ tAst I am Sli~ tW dy ia aeeadaoa. aad 'a
eoeto~a~iqr witA $~etioa ?~2.17. ~9o~ida &atue~s.
• I was a Mpl ewida~t d O~~' L L ~ ~ IIJ ~ S E ~ I
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aed am aad 6aw besa a boaa ~ r~dd~M o[ tM St~ olFlorids aWa I Y dq at
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ST. LUG I E
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aod thb statea~snt b tio b~ takes as a~? deelarstion ai ett3seas6fp. aetwl lesal :+e~ideAes aad da~nieDe in ths &ats d Florida.
If FOR THE PURPOSE Of ENROLLING If i0R HOMESTEAO PURPOSES .
CNItOREN IN SCHOOL~ PLEASE sTATE ~LEASE CHECK: ~
T E R NAMESS
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sT~iuc r ~ouMTY FLA~.
CIERK~C~;~ujj ~pURT
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I FUIiTHEIt CEIiTIE'Y thst 1 w~l mgister st mp beal address rvhen tbe registntioa books reopen. ~nd compl~ w+ith aU
O~II!! !"!gN!!~!'IIICALi OI ~ Itgil !!'S1aEtIL OI tbtt S~it4.'.
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I ~ that I bave no inteatioa to return to m tormer. domie~ile. aud I iatend to remaia in
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~ ROGER P01 TRAS.. CL~,RK OF C IRCU 1 T COI~tT ~
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~ ST. LUG I E COUNTY, f LOR 1
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~ BY:
~ EPUTY LERK ~
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~ AGO Fonn 71 22
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