HomeMy WebLinkAbout0147 Dec~ar~tit~n of Dor~icii~ ~nd Cit~zens~ip ~fJ
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~ TO TNE CI.~AK OF TliE CIRCUIT COUftT. ~
ST L LUC t E cpurrry, ~z,pRtp~:
This is m~r decluation ot Domic~e snd Cithenship in tbe State at Fiodda tl~at I aa~ tiltn~ l~b d~,T ia aoeordaaos. sa! in
coatora~ity ~vitb Section 222.1T. ~'lorida Statuta~.
I was tormerl a bgsl resida~t ot _ y _ t~ r,la~ ~ j .
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resided st harorsr. I bave c~an~ed a~r doeo~db to
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sud ua and havs Deeo a boaa fids reaident o[ the StaLa ot Florida siao~ ~-~~~-L d~7 ~
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:1 C~~.~ ~ ST. lUG 1 E Count~. t~7orjd..
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~nd this atat~ment is to be taken is np declaration oi titi~ensbip. adual bgal tnaidenoe and do~idis in the State o[ ~'lorida.
If POR THE PURPOSE Of ENROLLING IP FOR HONESTSAn PURpOSES~
GHIIOREN IN SCHOOt~ PIEASE STAT~ PIEASE CHECK: ~
THEiR NAMESS
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=T tuC~E Cou~rTr F~,~. ~
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CtE=x C'R;U17 COURt
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I FtJRTHEB CERTIFY thst I w~l register at my local yddre~s when the registration books nwpea, and oompb *?ith all
other reqe~irements ot i kgal resident of this State. '
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~ I FU _ R CE th:t I ve no int~ntion to return to my former domia7e. and I intend to reau~in in
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R Sworn b and subscribed belare r~e lhis dav of _~~s~ ~•1.. 1~ 4~
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~tOGE P01 TRAS, CLERK OF C IRCUI T COURT ~
ST. LUC I E. GOUNTY, FLOR 1 UA \
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Ar~l Fnrci 71
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