HomeMy WebLinkAbout0714 Decl~ration of Dalnicile ar~d Citizenship
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T07'll~ CI.ERK OF TiIE CIRCUtT COU(tT.
ST. L UC I E ~p~~, }'t,pRIDA:
TAb b m~~Jrr deeluatae ot t)anici{s ~nd Citis~hip ta tM Sut~ ot Flord~ tbd 1 un Wiaj lI1L ~ IA KCafdalla. ~ad ia
a.lorautr Mrit? s.Hiaa ~.1T. F'bria. se.tat...
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nsWcd at _ ~ ~ 1 ~ ~ , • _ ~ c d ~ ~1 _ ~ i C ~ - Ho~wvK. I I~aw cl~aa=ed mp domieile to
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ud Wa tad b~w beta ~ boaa Cd~ trsident ot tl?~ Stat~ 01 E'londa sint+ ~ ~y o~
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r~' . and l nsid~ ~t ~ ~ ~1. ~r c~ • L~- e~ _ t
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aad tAis statement is to oe takea a mr deciarstiod of eitiunsl?ip. aelual k`a! residenc~ ~nd don~icib ia lM Stata ot Florids.
If ~OR TM[ ?UR?OS[ Of ENROLLING Ii ?OR HOM[STEA~ iUR~OS[S.~
CMII~R[N IN SCHOOI~ PL[ASE STATE /~[AS[ CNECK: ~ j/ ~
TNE IR NAMES:
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1 FURTIiE:R CF.RTiF'Y tha! ! w~l reR~stcr ~t mr local ~ddress when tAc rcgistration books rcopen. and comptr w?ith ~Il
otl?er rcquircmcnts ot a kgal res~dent ot thi~ 5ute.
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` I FUItT11E;:~ CE:RTIF'Y t!?at 1 Aave no intr~tion to retvrn to mr tormcr domicile, and 1 intend ta rcma~n in
• ~ ~ l- ST . UC 1 [ _ Countr.
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s Florida, pcrmanentl~. ~
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' RO~ER PO AS,lCI=ERK OF~ C IRCUi T COURT
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~ ST. LIJC i E COUNTY, F t.0i21 U/1
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