HomeMy WebLinkAbout0063 ~ R~claratiz~~ of ~am~ci~e ~nd Citix~r~~hip ~
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• Thii b m~? dectaratioa ot Doaa&~le and Cithoa~btp ta tIN State o~ Floaida tlat 1-am tilia~ tl~is d~,~r In aeESrdaeee. and In .
oc~aaity wtih Secttoa 2'~.1T. I~'lorida St~tute~. ti
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I was i crl a tegal r~sideat oi ~1 ~r R ~S Si A~ /`r~~/`~A!• and I
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re:wed at O~/ ~E.vrv C,l+~cdlE ,110~1~st,~tl.!` ~~awenee. l ba~?o ce:opa my aom~e to
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aod ata aad lu?va bce4 a boiu fid~ resideM ot tl~ State ot F'io~da daos. i ~ 5~ dp? at
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'r~ s rE.~! 3~ac~ ST. l.UG f E Coa~ty. ~a.. -
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and ihis statctnent is to be takep ~a my declaratiou oi eltisoashtp. ~ctual kgsl seaideaec aad donnieilc ia the State oi Fbrids.
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If fOR THE PURPOSE Of ENROLLING - ~F. FOR HONESTEAD PURPilSES~ E'
CHiLOREN tN SCHOOI~ PtEASE ST,ATE PLEASE CHECKS ~ ~
' THEfR NAMES: 1 -
FILED Alld RkCOR4E0 ~ _
~ ST.lUC1E ~OUMTY FIA+
ROCEit POtTRAS
- CIERic ~1RCWT C011AT ~
- ' ~ _ RECORE YER:i1E0~~
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I E`URT}IER CERTIFY that I w~I register it my loeal address whca the registritian bc~oks reopcn. and eomply with aU
other requirements of a kgal resident at this Statc.
I FURTI3E~i CERTIFY that I ha c no inttntion • to return to my former domicile. "and I intend to remain in
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Fbrida. permancn~i; . ~
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~ RnCFR P01 TRAS. CLERK 0~ C IRCUI T COUtT ~ ~
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