HomeMy WebLinkAbout0978 Declaration of Domicile and Citizenship ~
TO T1tE Ct.ERK OF TI IE CiRC'UIT COUR'f. ~~,~79
ST. lUG I E pout~n'~r. FI.ORlDA: ~
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'cw d ar eKu~.~~«? ~t t~~w .~a c;~~~.ero su~. ot F~o~a. u~.t t.,~ c~ d.~ .«ora.~.. sad ia
~Of19t~r MI~~1 .~l11011 ~.a~...17. ~Of1d~ Sl~lYlff.
1~ras rl ~ k~al resd~M of ~ asd I
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re~Wed ei Heww~t, t Aaw eban~ed my dwn~ak to
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ud am ~nd bav~ ~a ~ soeui C~de resdeet of tl~e Stat~ ot Flond~ s~en Jar d
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ST . L UC I E couoey.
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~ad tl.is stateaneat is to se taleea as my drelsrataa o( ntiseealup. actwl k`~l re~idaoes and da~ucile ia tM Seate o( Plo~d~.
ir fOR THE ~URrOS[ O~ ENROLIIHC 1~ rOR NOMEST[AO PURPOS[S~
CMIIDREN IN SCHOOI~ 1'LEA3[ STATE ?l[AS[ CH[CK: ~
TMEIR lIAMES:
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I FLIKTIIE:R CF.(ZTif 1` that 1 w~il rr~~~tcr at rriy local addnss when the r~gisttatwn books ~coprn, and complr M~~tA ?li
ot!?et rrqu~rentrnts o! a M~;al rr~~drnt o( th~~ ~t~te.
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1 FUliTHE::t CE:i{'f'iF'1' th:t I hive no mtrnt~on to return to mr tormrr dom~c~i~, and 1 intend to rem~in ~n
t ~ S. T a~- V~1~ County.
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}'btida. ycrmanenti~ .
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Sworn tu and subscntMd M•fure mc th~~ ~ d,r ot r ~ 1 t~ 1 ~
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ri~ ~ l.~~'f' . A.D. 19 ~f' .
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ST. lUC ~ C COU~~TY, F L.O~< t UA
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