HomeMy WebLinkAbout0466 D~claration of D~mici0e and Citiz~nship
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TO TlIE CLERK OF TI IE CIRCUIT OOt1ItT. 3~~~`2 ~
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._ST,. lUG 1 E .~COtnrrY. Fc.otuDA: `
' Tbb b ayr deel~catioe ot I~ilcib and Citiso~sAtp tn the State ot Ftorida t!u?t I am C~ tbis d~r in ~ooordaaes. ied lu
ooatormiy? witA Scetioa 22..''.1T. Florida Statueos. - Z z~ Y3
- 1~ras t~ a kgal reaideat o~ ~ l.LU. /4 ~ e,15 ~i3%1 T~_ - 1 2 U'[ wd I
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n~ided at 227~ PR bll i n l~ NG ~ S T~ - Ho~vere~. t luve elu~ed my domieib to
. ~s~..e.~e N~e.rt (~'R,~ , 2. ~'4i I Q 1~O J 25
•ad un ~nd have be~o a bona C~de restd~at o~ tho Stato ot Fbcida since ~ da~o~
. ~ ' .19.~. sad I resl3e at ~ ~ s • ~ ~ t~ 1~ K.~u ~i~ ~ ~ '
. lStn~! asd No~l
~'o ~21 t~Q.ttk_ ST. lUG 1 E Couatr, Fbrida,
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aad tbis statemcat is to be takcn u mr declarstloa of eitis~aahtp. ~ctual kga! ce~idcnee aad dotnitil~ ia the State ot E'lorida. t
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If iOR tHE PURPOSE OP ENROL~ING IP fOR HOMESTEA~ PURPOSES~
CHIL~REN IN SCNOOC~ PLEASE STATE PLEASE CHECKS I~ ~~i
tHE IR N/1MES: I- ~ ~
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~mu~ ~ ~ 5~3 ~~J_~___ :
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~m R~ oc ~ 2 FIIED AN~ P.~~ORDEp ~ ~ t
~ SL ~UC~E ~OUMTr FLA. ~
- R~C~?. ~41TRAS
~ ClC4K C;4CUlT COUAT
RfC ~Ff ~ER~FlED
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~ I FUItTI1FR CFRTIF'Y lhat I will rc~istcr il my local address when~thc rcgistration boola reopcn, and comply with ~II
E othcr rcquircme~tc of a IcEal residcnt of this Stalc. ~
I FUItT1 .~t C~t
T1F'Y that I liave no inlcntion to relurn lo. my forn~cr domieilc. and 1 i~lend to rcmain in
~i~i Ni~~2C~ ST . L uc ~ c C~u~~~y.
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b'lorida. pcrmancn~i~ . ~ '
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Swor to end ~ubscribccl h~doro ma thi~ ~ dsy ot L~~7 ~t% (~r
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;R Pnl JRAS,~, Gl_ff2K OF G iR_f_,UI T COURT ~ ' _ ~
ST. LUC 1 E COUNTY, f~OR 1 UA ~
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