HomeMy WebLinkAbout0208 Dectaration of Domicile and Ci~izenship
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TO TIIE CLEIIK OF T1iE: CIRCUR COURT.
ST. LUG I E aput~rt~r. F1,.pRIDA:
71is b mr deelantion of ()omic~le and Cit~en~hip ie? the Sut~ o~ f1o~~d~ that I sa~ Win~ tAb day ia scco:d~ncs. ~wd ie
~fora~itr witA Sectaa ~.17. F'lorid~ St~tutes.
I wu for+*+r~rl ~ k~al resideat o( ` t aed I
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nsided at b~~=. ~_t ~ l ~ c ~ Harever. I baw eAaased a~? d~icile to
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aAd aw~ ~nd bav~ be~e a bona C~de eesideat ot the Stat~ or Fbrida sina ~ ol
I914- - ae~d t Ksid~ at / 5 ~ - . : C~ t ~ ~~fl C~ ~
(~trwt r?d N~wl
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ud tAts ~latement b W~e taken u mr dectatataa o1 citisens~ip. aetual k6al eeside~ and domieJe ia tM State o[ ~io~da.
Ii POR THE ~URPOSE Oi.[NROIIIMG If FOR NOMEST[AO PURPOSES~
CNIIDREN IN SCNOOL~ P~CASE STATE ?L[AS[ CHECKS ~
T HE I R NANE S 2
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1 F'UitTflF:i: CE:RTIF'1' that 1 M~ll r~~ster at mr local add~ess when lhe r~gistratwr books rrope~n. ~nd eomply witb all
oth~r rcqu~~cn:cnt+ af a k~al res~denl o( thu ~tatc.
1 t'UIix11E::t CE RTIf'Y that ~ hav~ tw intrntion to return to mr lormrr dom~c~k, and I intcnd to rcm~~n ~n
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Sworn lo ~nd .ul?~cril?rt! tM•lurc m~ thu d.r ~t '
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