HomeMy WebLinkAbout0735 Q~c~ar~~i~n of Da~icile at~d Citi~~nsni~ ~
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TO THE CL~;RK Ob` THE C1RGUIT COUItT. ~'2~~`~ 2 •
ST. lUC 1 E_~_______CpUNTy. FI,pRIDA: . - , .
T1~b u my decl~tion o! Docuicile ted Cithcnahip tn the Staie o~ Flarida t!u?t I am tDina thts dar la ~ccord~nco. ~d it~
oonlormity ~vith Scctioa 222.17. Florida Statutq. • ~ ~
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l wa Ior~ ~ leb?a1 residcet ot ,,E„~~ ~ E ~ _ Gv ~q ~ i
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n~~ ~ ~ ~ ~a 5~-~ ~ ]~owover. I luvc ch~nged my domicilo to
l~~ ~d NumD~l •
~nd am u~d iu~vc bceo a l~ona t'idc resident ot the State ot Florida sfnce ~ . ~y
~ ~9- and 1 raside at y~ C o~ ~ C. ~ v L`
F T C t C~ • ST. LUG 1 E~t~dNna?eerl
_ t~l _ County. Florid~, .
~nd thts atatcment is to be lakcn us my decl~u~tion oi citizcnsbip. aclual legal rasidencc aad domieilc in the St,~tc o[ Florida.
IF fOR YHE PURPOSE OF ENROLIING IF FOR HOHESTE/l~ PURPOSES~
CHILOREN IN SCHOOL~ PLEAS~ STATE PI.EA$E CHECKS ~ I"';
.THE IR NANES., ~ , C_
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Fl~EO A!~U REC RO~E,~
' . ' ~ ST.lli~~f ~~11~N~~s"" -
RO~EA
- CL~~1t G1RCU1? COURT
. . RFCaRJ YEtc~F1E0.........~
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l FUR7'tIER CF:RTIFY that i wi!! regi.~ier at my local addres~ w1~en the registration books reopen. and com, ly .vith rl! .
other rt~qu~rcments o( a lc~al resident of t!~is Stale. • . -
I FUR~ E;t CERTI!'Y_ that I have no int~ntian to relurn to my larmcr domicile. and I inlend to remain ia
~ T ' ' F~GF _ST. LUtiC .C~unl
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Fbrids~ permanen~i; . j ! .
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Sworn io anJ subccrit,cd Ix~(ure mo thi.9 ~ day of ~T F~G ~
E' ~ n.n. .
f:nGf~R POI TRA CLFRK OF C iRGUI T COUtT _ _
ST. LUG 1 E; COUNTY, f LOR 1,UA .
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