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Deciarat~on of D~m~cole a p
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TO Tl[E C[.BRK OF TIIE CIRCUIT qUItT. ~
ST. LUG 1 E ~pUN1'Y~ ~'1,pR1DA:
. '1'Afs b mr daluration o~ Tlomlcib and Citiso~ubip la tbe State oI Fiorid~ th~t I am Gllna ~hts dar in ~eeoedance. and ta ~
~oatonaity with S~ction 2~.1T. Fbrida Statutos. r
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. 1~?as turm~rl • kgal res~eat oI ' ~7 ~ I
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~~t ~Q s ~C. /~7J ~ - Noae~er. I h~vb ehanged mr domicilc to
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sad am ~nd A~ bcan a bon~ Pido teaidoat ot tho St~to ot Fbrida since ~ ~y ~
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j S~ ST. LUC 1 E Coancy. Ftor~a..
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and thia statcr~cat is to bo takea u my dscla~atto~ ot eitiunship. actual lcgal residcnc~ and domicilc tn the State ot 6'lorida.
If rOR tHE PURPOSE OP ENROILiNG If fOR HOMESTEA~ PURPOSES~
CHI~~REN IN SCHOOL~ PlE/1SE STATE PLEASE CHECK: ~
' - tHE1R NAMES:
~FilEO Ah~ ~ 1
. ' _ ~t.IUCtE ~OUHTY f~A, '
ROGEF ~UttRAS
_ CLEFI( ~~,~~~lT COURT
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' 1 FURTIIF.R CF:RTIFY lhal I will rc~istcr at my local addres~ when the rcfiistrelion twoks reopen. end eomply with ~II
i olher requircmentc o( a Icgal resiJent o( this Sinte. ~
~ I FU IF:t CEI IF'Y tl~al havc no intcntion to cclurn to my farn~cr domicilc. and 1 inlcnd to rcmain in
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