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, Declaration of Domicile a~td Citizenship ; . ~ i . i To ~ c~uc oF ~e c~ecurr cover. 32~0 38 ~ . ; _ ST. LuC t E ~__o0urrr~r, ~r.otuo~: . • • . ~ TAb b aqr deetaration ot Domieile ~ed Citiseasbip ia the Stat~ ot Flo~ida tbat t sra t!~!s da~? !a uoor~ana. and in ? eoaloratity rrit~ Seettoa 222.1T~ Florida Statuta. ~ ; J wss t~ a k8a1 re~ideat ot n~f • ~ F 1~ r•/f aad I ~ . IGt~! lAiat~1 ' trti~d at /eZ ~ f_' ~<-'n ?~F 8o~wvor. I baw ehan~ed eqp doa~ieile to (~Nt rd Nn~~l • sod am aad aa~. beea a boa. rid. re~ideuc ot cbs sc.t. at Floria..~nc. ~~-Y _ ~'~t Yt~~ f,~ 31 ,c' - ~ i~ "~5" .oa i,~a..c ~ S r- ~ - i ~~1~ ~ ; i 18teMt ~d Nwob~1 .~1%~' i~~7 -,l r' l' ~ f~= ~ ST. lUG i E Counc~. F'b*+da. tC1y1 aod tlits statement Is to bs takea as nyr decluation of dti~eaship. ac4ual iegal reaidsnee aad doa~ia'le iu t1~s State ot ~'locida. . If fOR THE PURPOSE OP ENROLLiNG IE' fOR HOMESTEAO PURPOSES~ CNIICREN IN SCHOOL~ PIEASE STATE ?LEASE CHECK: ~ tHEIR NAME52 ' 32~C~38 . • . ~~~R~. ,o~T~ CLEAII C~itGWt COURT _ ~ REQOitO V£Rtf1E0.~,...~~,,, ~ Qtc 31 J2 j3 PM'15 - . .1~ , + J.. . ' T FUB1'HER CER1'IFY that I w+ill register at my local:ddre~s ~vhen t}u regiatntion books reopen. and complr ~vith aU otAer sequirements ot a legal resideat of t6u State. ~ ~ I FyRTHE~ CERTIF'Y th;t I have ao intention to retura to my former doanicik. and I intend to remaia in i - - /JG'•l'i • ~T < t ' $T. LUC 1 E ._,County. - (pt~l - . ~ - Fbrida. permanentl;. ~ ' '~!Fr~'.~~` _ • ~ `•t.` `J ~r• ' ^ / ~ lCC ~(.c -L-~ . ~ ~ : : , - . - - _ . ' ~ r•' ~ _ if ' ,y.t . ~T - ~ ~ % _ - 1 r~' ' - • _ ,i - . ' . : Q ~ ~HiON) • i 3• . _ ti. ~~''~i•.s _ > 1..~~ - . C - / %itl! [l ~ r~ -.i~~Rt_~ .J,Z~.j~ : t1 "~v' " ~ ;'i , • r-i ~~hM~ ~ . S+~v~y~ tv,pti~kkribed be[ore me thiu 3 ~ a.r ~t ~r . _ ~ r / ~y . ~ ~ A.D.19- / ~ - ~ F~OGER P01 TRAS. CLERK OF C IRCU! 1' COURT ~ ST. LUGIE COUNTY, fLOR1d BY: ~ ~ E uT ~EaK ' J • 80UK ~4 / PAl;E V ~2 ~ F•o~~n ~ ~ > :..i~ ~ :