HomeMy WebLinkAbout0494 D~c~~ra~~on af v~n~ici~r~ ana V~tiz~nsn~p ~c
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TO T1lE CI.BRK OF TIIE CIRCUIT COURT. • . ~
, ST. lUC i E COVNTY. F[.ontD~ ~
TAb b aa~? dalaratioa o[ nomit~o apd Citizonahip ia tbs State ot Fio~ida tlu?t I aat t~1a~ thb dar tn a~oordanee. and iu -
~oufformity wilh Soetioa 222.19, Fbrid~ StatuiRS. - _
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1 wa~ t~ ~ kgsl resideat ot
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t~aW~d st 0~ Horrever. I hsve ~ aq? domidlc to
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aad a~a ~ad I~ve ~ea a bons fide residcat o[ ths State ot Fbr~a sinte ~ ~r~ 9 7~G ~r ~
, i~11.~.,,a i,~taa.t 3/s~ ~d . e?/ ~ .
{8hwt ud NroOw)
.~r~ ~ ST. LUG 1 E Cou,ne Ftoe;a.
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• tDa ~IIL1 i1~l~dlcAt ~ LO ~ t/ItCQ Rt Aly dlClit~tl011 O~ tILjZ~pSll~p. aetual kgal e+esideneo sad donde~e in the State ot E'loridR.
• IF POR THE PURPOSE OF ENROLLING IP fOR HOMESTEA~ PURPOSESi
CH I I.~REN i N SCHOOL~ PLEASE STAtE PLE/lSE CHECKt
THE R NAMES. ~
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- ~i~EO ~~o REC3~45`-~9
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' C[ERK Ct,~CU1T C
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• - • RECORO YERlFtEp~~~;~
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I I~'URT}IER CERTIFY that 1 w~t register at my local nddras when the regi.stntioa books reopcn. and eompip with aD
dl~er rcqnircmeats ot ~ lcgal resideat o[ tbis State.
1 iE~ ,ERTIF'Y that I havc ao Intention to nturn to my formcr domicile. and I inicad to rcmaia in
' ~-ut-~? . ST , L U C I E . Counly.
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` Florida. permaacncl; . •
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, Sworn lo u4~ttibcd bcforo mo thi~ ~ duy ot
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~ gQGER P01 TRAS. CLERK OF C IRCUt T COU2T
~ S7. LUC i E COUNTY, f LOR t,UA ~ ~
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