HomeMy WebLinkAbout0938 Deciaration of Domicile and Citizenship t~'
TO T11E CLE[tK OP TI lE CiRCUIT COURT. 274 S
ST. L l~ 1 E ~pUNl'Y~ FI,pRIDA:
Z1i~ b mr declarstwn o( ~J~ and Cit~susA~p ia tM 5tat~ ol Flond~ Elul I~m Gti~~ tlw da~ iu ~ctordana. and ia
e.~torsitf .~itA s.c~w~ ~7, E1or~d. suc~ks.
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I wa~ / nkrl ~ k(al r*s+deat ol ~ ~->,L L i_ _ J` r: ~t' and l
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r~sid~d ae ~ ~ Ho.?s~er, I aa~• ehansea n~r donuc~k ~o
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•iA illl aNd Aarf b!!A ~ ~Ol1~ Ci~ R31dtAl Ot lAt S1~~1 Ol FlOfldi lltlt~ l~C- ~r p(
~ ~ ~i ~ 1~~ aed 1 ee~id~ at C ~ ~ ? ~ / ' ? ,
/ IMr~ N~Mrf
~~,Ct ~ ST . L UG 1 E Couner. F1ond~.
• IClyl
ud tAb statemeat u to be takea as my declaratioo ot citiseasA~p. actua! kzal rreadenc~ snd domic~k in tM State of Elonda.
If rOR TME IUR~OS[ O~ ENROIIiNG Ii ~OR MONESTfA~ P!lRPOS[S~
CMILOREN IN SCNOOL~ P~EAS[ STATE ?l[AS[ CNECK: ~
TM[IR NAMES:
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~i~ :l e.,.~(+EO
ST o,~.r . v~:~~t~
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Auc ~ y y vs AM 'i o
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I FUI~TIiE:R Ct:(~Tif'1' that 1 w~U r~Ritt~r at mr local address whe~ the r~~etrateon ~oaks r~open, and compir with ail
olAer teQuirement~ o( a Ir`;at res~drnt of tA~+ ~t~te.
1 FUIZTHE::i CE:ftTiF'Y th~ ~~avc no ~ntcnt~on to return to my tormcr d~mic~i~, and 1~ntcnd to rrma~n m
~ c[ 1 ~ 1 t t~ t , $T L_~ UC L[~ CountY.
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F'brida, prrmanrnti, .
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Sworn to ~nd ~ut»crihe~d t~lare mo tAis d~r ol ~
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~GER PO~R~~,`CI,ERK OF' C IRCUI T COU~tT
_ S7. LUC t E COU~~~TY, F ~~Ft t Ul1
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