HomeMy WebLinkAbout0377 Declaration of Domicile and Citizenship
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TOTli6 CLE1tK OF TiIE CIRCUCT COURT. ~a3~
ST. lUG 1 E ppUtvZ'Y. t'[.otuDA:
Th~ b m~? deela~ation Doaticik a~ CitwusAip in tb~ Stat~ o( Florida tAsl 1 ua Cdins t4i~ day i~ aceotdasa. aad ia
qRtermit~ ~ritl~ Sect~ ~t.11. florid~ Statu~s.
1 ~ru ~ ?I a k~al ~esidsat ef ~ C Il 1 ~Ci ~ l _ ~ , ~ aud 1
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te~ided at - D c' ~ tL _ Howsvet. l haw~ e`an~d my domicik to
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a~d ua aad baw beeo a bona ~'id~ rtsideM af tAe Statt ot Fbrida s~nc~ 1 5 aa~r of
~ I~~.1~1{C~ and I nsid~ st S I~ A 1 Ct ~ t~
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~ G IZ 1#~~ E'C~ C~ , ST. LUC 1 E Coa.ey. F~orid•.
ud tais stateatie~t is b ~e tak~o u mr decluatioa al citiseasAip. setua! kra! resideac~ ~nd domkil~ ih the St~4e ot Fbr~da.
Ii i0R THE ~URPOS[ Of [NROLIING If FOR MOMESTEAO ?UR~OS[S~
CHl~~REN IN SCNOOti PLEASE StATE ~L[AS[ CMECK: ~
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1 FURTIIE:R Cf:RT1FY that t will rr~i~ter at mr local ~ddres~ when the reEisiratio~ hooks reopen. ~nd compir witA aU
otAcr requi~emrnts o( a kKal res~dcnt of th?s Sute.
; 1 FUItTfIt:Z CEIiTIFY tRsi~ I 1?svc no inicntion to rewrn to m(ormcr domKil~, and 1 intend to rcmain in
; ' l L~ i_ i E,k'L• c:_ , ~ T. L_U C 1[ . County.
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Sworn tu and wi~+cril~cd 1M(~~ro mc lhis d.r ot ~ r.(_[' ~
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