HomeMy WebLinkAbout0304 [~~c~aratoon or t~~rr~ic~ae ana ~~Y~z~nsn~p ~
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, TO Tll~ CI.EItK OF T11E CIRCUIT COUJtT. • . ~ ~
_ ST.. L UG 1 E OOVNTY. F~.OtttDA: •
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Ti~b b a~ dacla~atioa o~ Oomic~e and Cit~o~whip le the State ot I~'lo~ida ih~t I ~un filia= this dyr jn aooada~cs. aad le
ooJo~a~iy ~rtta Soetioa 222.17. Flocida Statutea. _ ~
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Z rras a k6a1 raldeot ot `S«~ T'/!t n c ~ SC._r ,~nd I
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e~Wed at 6 6 Howeve~. I 6are chanaed ~r domie7c to
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aed am aad bave bcea ~ bo~a Gde e~eaidcoe ot ihe State ot FbrWa siaee ~.,1~~ . _ ~r ~
..,~llsall S'~~ .1~.,Z(Q... aad I t~eside at ~i
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4-~~ U~ e.. ~ ST. LUG 1 E Camey. F1o~;da.
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~ ~nd thts statemeat is to be takea a my deciualba ot atjzeaship. actual kgd r~esidoaee and doa~ie~7e in tbe State ot I~1o~ida. -
• IF POR THE PURPOSE OP ENROLLING If FOR~HONESTEA~ PURPOSES~
CHILDREN IN SCNOO~~ PLEASE STATE rLEIISE GHECKS ~
tHE1R NAMESS
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I FUItTHER CERTIFY that I ~rill registcc at my local addnss when the rcgistralion books reopcn. ~ad canpip ~ritb aU .
otAer rcquircments oI a kgal resideat ot tbis Statt. .
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,i-f'UR~IE3 ~EItTIF'Y- that I havc ao intcation to return to my lora~cr domiu'k. and I iatend to rcmain in
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~ Sworn to and suburilkd brforn mo thi~ ~ dar ot D o r T S~f. /-'/e ~~c~' cL
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~ ~OGER P01 TRAS~ CLERK OF C IRCUI T COU2Y
~ ST. LUCIE COUNTY, FLORiUA • - -
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~ EI' Y I.ERK - ~ .
: 600K PACE ~Q~
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