HomeMy WebLinkAbout0363 VGC1~1'a~1~~1 OT V~~1c~a~ ana ~~~~z~'~~~~~~~ ;
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T0~llECi.EItKOFTIlECI1tCVITCOURT. • v44~ .~iQ . ~
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- LUC I E ~pUNTy. Ft,pttlDA: ~
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'Y'bb b aqr decu~atton ot Aomic~lo ~nd Citi:oa~hip ia tbe State ot FbrWa ttwt I am Cdtns tAi~ dpr tn ~eoord~aco. ~ad In
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I ~ra I rty a kgd nsldeat ot ~ ~ and I
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/,~U T~l~' - Howevet. i l~ave ehaaged aqr dante~e to
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aad am aad bave bceA a boaa fide Kaidcnt ot tbe State o[ Florida sincs _~~!l G'~ 9Z 7~ ~~~~ds~ ot
1~__....nd i reside at ~/d CS.1a.~- qm~r-
18e~we aad N~1
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rir.v R.,r~P/ ~i~-~ o~ y~ ST. LUG 1 E .
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~ ~sd this statemeat ~S ta bc talcea ~s my da4ratioa o! eittsenslJp. aetud kgd residenco and domtcile tn tbo State of ~'forida.
• IP POR THE PURPOSE Of ENROLLING {P fOR HOMESTEA~ PURPOSES~
CHIIOREN IN SC,HOOI~ PLEASE STA~E ~~EIISE CHEGK:
TNEIR NANES2 ~
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I FUIt't`HEIt CEItTIF'Y that I will register at mr local address ~vben the ngistration books reopca. an~ eomplp ~vith aU
o~ber tcquirements oi a lcgal resideot o! this St~te.
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f I FURTHB CEitTIF'Y tb~t havc ~o int~ntion to ntura to my formcr domicik. and I intcnd to rcmain in
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Sworn to and subseribed br[oro mo thi~ ~ dAy oi , ~-~f'
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~OGER PO ~TRAS~ CI.ERK OF C 1 RCU I T GOURT
ST. LIJC I E COUNTY, f LOR t UA ~ •
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BY:. ~
P T I.CRK . ~ ~ .
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