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TO TIIE CLE;RK OH' THE CIRCUIT COURT. 33Q3.~,~
_ ST. LUC I E covtv~rx, ~,oninn:
This is my dccl~retion ot Domicilo and Citizcn~hip in the St~?to ot FloridR that I am filing this day in accordance. And in
con[ormity with Srction 2~.17. Florida Statulea. ' ,
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I was [orm~~iy a tegal residcnt of . '~1~ ~ ~K and 1
~'p~y~a(~~ ~cur~ ts~.~~
+~t A!~l.L~L.L~J1~.~ ~!I .liowovcr. I have chsnged my domiEile !o
(Stre~t ~ad NusoE~eH ~ •
~nd am ~?ed have bcen a bona tid~ rc~ident o! iha St~?tc ot Florida aince p_U Q~~ day ot
C ~ ~j
~n~~ .19~. ~ad I reside ~t _ ~~{p •J~A~j~ E~C11C~
I~L_C~ ~ 1-~ t D/4 ST. ~LUG I Ese~i.,~aN~~,e.r~ _
Cottoty. Florida.
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and this statement is to be taken us my declaration of citizenzhip. teetual lega! residence at~d domicile in the Slate ot Floridn.
If F'OR THE PURPOSE Of
ENROILING If FOR NOMESTEAD PURPOSES~
tHiL~REH IN SCNOOL~ PLEIISE STA7E PLEASE CHECK: ~
Tli~ IR NAMES: '
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f~LEQ AR: t'tCGiDED
ET ltFCt= ;,';JMTT FIA.
f.fi;"F F~3iTRAS
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- M~ ~1 la s2 AM 'T6 _
~ 33Q3 ~ `7
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I FURTIIER CERTIF'Y that I tivill regi.~tcr at my lnca! address w}?cn thc registration books rcopcn, and comply ~vith all
othcr requiremer~ts of a Ic6a! residcn! of l!~is State. ~
I FUR 1C;t 1tTIF/ ~'h,a~t -I~hav~ no intentian Co returr~ to my formcr domicilc, and I intend to remain in
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Sw~rn lo nnJ suli~crib~d i?etorc mc thiy °'~~day of ' '
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R4GrR _P01 TRAS,~ CLF:R{C OF C IRCUI T COUtT -
ST. LIK. ! C GOUNTY, Fl..Oi21 UA
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