HomeMy WebLinkAbout0861 Declaration of Domicile and Citizenshfp
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7~0 TIIF. Ci.ERK OF T11E CIRCUR OOURT. ~
ST. lUC 1 E oovt~rr~r. E'WRIDA:
'i'~i~ b sa~ deelar~t~on o1 I)o~akiM and citis~Aip is ttK Sua o1 t'lotida chat t aa Win~ tAjs da~ 1~ ~cto~dsno~. a~d in
~1~twity n?tth S~ct~on ~.17, F'lorida Saat~tes.
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1 w~+~ ner ~ k~sl res~d~M a1 !,!r _.'~~,N ~+i h~~ tiP K- i_ c u aud i
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n~iied d d~ 5~ L~ ~~sA ''.'r,~s.~ v!~' S c" - Howwer. I Aaw d~n~ed my doewcile to
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~ ua aad bav~ ~ee a boea rid~ ct~at of tM Stat~ ot Fbrd~ uun ~ day oi
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ud t?b stat~meot n to be takea w~y dselaratioa o~ dttuastip. ~1ual k~al reside~s aad domicii~ ia tM S4te o[ flo~da.
I~ ~OR TNC ~UROOSE Of [NROIIING I~ fOR NONEST[AO PUR~OS[Si
(MiLQREN IN SCMOOI~ ?l[ASE 3TATE ?~[A=[ CNECK: ~
TN[IR NAMESS
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I FURT{1t:R CERTIF Y tMt 1 will nRisier at, my bcd address rrAen the rr~stration books tropen, and comply with aU
otl?er requircm~nts o( a kgsl res~dent o( thu State.
I f'URT}lE:~ Cf.RTtf'Y that I Aave no intentwn to rcturn to m tormct dom~uk, and 1 intend w rcma~n in
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' Sworn toand sut»cribed brloro me thu ~ d,r ot ~ _!_I ~1 ~ f' ~ ~ ~ { ` +1
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~ ~ER POf TRAS, CLERK OF' C IRCUI T CQUtT
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