HomeMy WebLinkAbout0115 D?e~0~ration o~ Qarriicile a~nd Ci~i~enshi
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Z~0 THE CI.~I~K OFTHE CIItGtI1T COUAT.
ST• LUC 1 E GOVNTY~ I~'LORtDAs ,
~s b m~r declar~tion ot Danfdle ~ud Citlzossb~p [n t4e 8t~te ot FforWa tl~at I un tilia~ tbN d~ in acooe+~~an. ud ia .
~oatanaitr a?itb S~eUoa 2?.~.lZ. I~'lorida St~tutes. •
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t wu f~ a kgW t of _ aud I •
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resided at • . I~t~re ebao~ed mY doaaicUe to -
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aad am u~d ve ~ren a baru tide rssident ot tbe Stats ot Flortda s[aes ~ dqr pt
• ' _~!~bw and I resida at
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aad tAi: statement ia to be taken as ~r daciantio~ oi eltiz~asbip. r.stuat kgal t+csideaoe aad domi~l~ in tbe State ot Fbrida.
IP POR THE PURPOSE OF EHROtt.lNG . IF iOR HOHESTEAD P.URP05E3~
CHILOREN fN SCHOOL~,PLEASE STATE - PLEl1SE CHECK: ~
THEIR NAMES.
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• itOC~A P43t~ ~ ~
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I FUR7'HER CERTIFY tlu~t I will rcgistcr at my iocal sddress whca the regis~rutioA books reopen, and eo~r.ply with all
other requirements ot a tagai resideat of t~is State. '
I F'URTliER CERTIFY Lhat I have no int~ntion ta rcturn to my formor domiG'ie. and I inlcnd to rem.tin in
' - ST . L U C i E . Cauoly.
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Florida. permanentij. .
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~~SfF{~'-. '}'~'F~AS GLERK OF C IRCU1 T COU2T ~ -
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ST. ~~LUC-i f: COUNIY, FLOR lUA
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EPUTY EItK ~ -
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