HomeMy WebLinkAbout0150 ~Declaration a~ l~omi il nd Ci iz '
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TO TNE CLERK OF THE CIRCUIT COURT. ~L : - '
, ST. LUG 1 E ~ op~y. ~,p~~: . ~
T6b b m~? da4ratba ot Domitile aat! GtitizeASAip in the State ot ~'totid~ thst 1 un ~ tAis day ta saocd~nte, ~nd iu
ooaiamity witi~ ~eciioo ~.I7. ~r't~eda
1~ras ton~r r a kga! cesideat ot ~~~~/~9
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resided at -~~0. P~'E ~.o t H~ - However. I bave ebaaged r»y domtc~e to
ISteMt a~d NwOw) •
aad un aad iuve been ~ boea C~de reaideat oltbe State o[Fbrida sjncs / O f,~ da~r o~
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, IJ E~ Er~ E~ ,1~~~ and I reside at .,1( 0~ f' ~o~t, c~ ~ UE' _
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_ jo~ ~ I;~ - ST. LUG I E County.Fiorida.
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aud th~ datcmeat b to be Wcen as nUr declaratlon ot eitisensbip. aetual kga! nsidcaee and doasicIle in tlie Stato ot Flarida.
Ii fOR THE PURPOSE OF ENROLLING IP FOR HOMESTEAb PURPOSES~
CNIL~REN IM SCHOOL: PLEASE STATE PLEASE CHECK: ~
TNEIR NAMESS
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- =T~lUC1E COUNTYRfIE,A.
ROCER PaIYt~Aa
- ter w.n~.
RECORO YERiF Fp ~'vu~ r
~ ~c 1~ 9 ~4 ~!!!'76
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I FURTHER CERTIFY that I w?i0 register at mr iocal sddre~a whea the tegistratioa books reopen, and eomply with a11
at6er reqnirements ot a kgal resideht oi this State.
I v~RTI~iE~ RTIFlC thst I have no intentioo to retura to m foraner domie~e. aad I iateud to nmain in
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~T . L UC 1 E - ~ CouAty.
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Florida. pcrmsncnti; . . ,
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a, ~ ~ : .r ~~tora ane this day ot ~t'y~ i'~~c.~~.c.~~ ~~c..~
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A.D. i9 ?6 -
.ROGER P01 TRAS„ CLERK OF G IRCU{ T COl~2T
'"ST. LUG ! E COUNTY, F I.OR i UA
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