HomeMy WebLinkAbout0638 vl ~ +
D~clara~ion of Domicile and Citiz~nship ~
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' TO TllE CLBRK OF Tl1E CIRCUIT COURT.
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ST. LUG 1 E COUNTY. FtARIDA: •
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Tbb b tny dccla~atio~ of nonticilo ~~d CitizonaAlp ia the State ot Florida that I~m C~lin~ this dy? in ~etotdanee, and ta
ooalonait~? ~rith Scetiou 2'L".1T. Fbrida Statutos.
~ ~ C- ,J'E f / l~ ~~~~•C• l - ~I •
. 1 was farm~~l a kgal rasideat o~ -
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% c:=_~/~' S - Horvtrer. I bave ehaeaed any domieik to
18en~t ud Nwa0K1
~ad up ~nd bavo beca a bona tido naidcnt ot tho St~to ot Florida sinco d~r ~
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~ ~u = ` ~9 aad I seside at 3l t""•f l~' C `i
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~ IS~ewt ~ad Nw~serl
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j~!,, - _ ST. LUG 1 E Co~atr. Fiorid~,
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tod tbia statemcat is to bo takea u my dalantloa ot eitiuaahfp. actual kgal naidcnrc and doasicilc in tbe State oI f'lorida. ;
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If fOR TNE PURPOSE OF ENROILING IP fOR HONESTEAO PURPOSES~
CHILOREN iN SCHOOL~. PIEASE STATE PLEASE CNECKS ~ ~
tHE1R NAMES: j
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• . RGC-w F4ITRAS `
CLERK ~;~~^UIt~ -
. . ' . ~crORQ VfR:F~EO COUAT
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j I FtIRT1IER CF.RTIFY that I will rc~istcr al my local address when the rcgistration book~ rcopcn. and comply wilh nll
~ olhcr rcquircmenl~ of a Icgal residcnt ot this State. ~
f I FUItTI1EZ CCRTIFY lhal I liavc no inlrnlion to rclurn lo my tormcr domieilc. and 1 intend to remain i~
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b'lorida. pcrmancnti~ .
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~ Sworo lo ~nd ,ubscribcd hr(oro mo thi~ dAy ot
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ROGFR f'nl~'T_tAS„ Cl_fRK OF C IRCUI T COU2T ' .
ST. LUCIE COUNTY, FLORIUA
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