HomeMy WebLinkAbout0829 Q~c@~rati~r~ of l~~m~cile ~r~d ~~itrx~~~ship
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TO TIiE CL~;RK OF' T}lE CIRCUIT COURT. ~
ST. I.UC 1 E ~ (;pUNTy. F'T,pItIDA: .
This is my dccl~ralion af I)omicilo and Ciliscnship in tAe St~?to ot Flarida t1u<< I zm Cding tlzis day in aecordaneo. and in .
eontormity with Scction 2?Z.17. Fiorida S~atutas. ' '
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1 was tormcrl ~ Icg~l n?aidcnt oi ~~~r . . aud 1 ~
Q ICWr1 Stak1
scsidcd at Q-3 '~/'e - l~owevcr. I havo ehanged my domicilo to
Istrt.c and Numeer) ~ ~ / ~ ~ d~ -
•ad am and havc bcen a~ona lide rosidcnt otthe Sf~to of I~'lorida aince ~ h T r oi ~
-19.~~~ And 1 nside at ~/d ~ ~ ~ ~
tStreet and Numper)
~ ST. LiJGIE
~ County. Florida.
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nnd this statcmen~ is Lo ba tnken u my declaratioA of citizcnship. aclual logal residcnecs aad domieilc in thc Sl,ate of Floride.
Ii' POR THE PURPOSE OF ENROILING ~ If FOR NOHESTEAO PURPO~E5 -
CHILbREN IN SCHOOL~ PLEASE STA7E ~ PtEASE CHECK: -
THEIR NANESt ~
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f~ ~~~1EK p~yria ~at
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' I FURTllER CERTIFY that I~vill regi~ler at my Incal address when the registration books reo{~en. and compty with all
~ othcr rcquire~nents o( a ic~a) resident ot tl~is Slate.
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€ 1 FURTIi~:t CRTL~ I,b.tt I have no intention ta relurri to my farmcr domicile. and I inltnd to rcmain io
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Florida. pcrmancnii,. ~ '
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Sworn lo NnJ sul?~~riLed 1?c~(uro mc this ~ dny of ~~r„ I~ ~(.4/41 Il~. ,
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~ ROGF R_F'017RA~'~ CL_f_RK OF C I RC U I T COt~tT ~
ST. L1K I C COUNTY, f I.OR 1.UA -
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