HomeMy WebLinkAbout0985 Deciaratian of Domicile and Citizenship
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'11~ Is mr declaratan o1 Oo~nic~lt ~oQ Cit~ansAip ia tM Stat~ ol Flonds tbat 1 am Cdins tbis da~ iu accordancy. ~nd i~
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ud ttis st~teraeat i~ to be takeo u my dezlaratioa ol citiunsAip. actual k`al rea~dency and domicJ~ w tAe State o( Flonda.
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(MIL~REN IN SCHOOI~ /IEASE STAT[ ?L[AS[ CHECK: ~ i
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I FUF{TI(E:R CE:RTIF'~' that ! w~1) r~~~tit~r •t mr locat addres~ Mhen tAe re~stratwn baok~ reopen, and comply w~~tA all
otAer ttquirem~nts oi a l~Raf res~dent o( eh~~ ~tate.
1~'URTNE::~ ~CEIiTIE'Y that 1 have no ~ntentan to nturn to mr (ormcr dom~e~l~, anA ( intcnd to rcmain in
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