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Declaratron of D~m~c~he and C~t~z~~sh~p ~
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Tor~~«.~ucoRS~c~ccurrcounr. ~ ~:~39~~2 ~ - t
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'11ts b mp deetuatba ~ Daak~e sad dtitaa+bip to tb~ 8tate ot I~7or~ tbit 1 sa? tAts d W aeoordsaoe. ~nd is ~
~oofwaaifj? wtth Sest~oa 2Z~.17. ~'brida Statnt~a. ~ ~ ~
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I was erl a kr1 raWeat ot . . ~ I • 4
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aal saa aad haw been a bona tide restdeat ot tM Su?t~ o[ E'lodda siaee ~ •3 - '
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~~S~~P.t~. i~~l.{~. aad I raide se L ~ ~
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n~'''~` i i 1P'- ~ ST. ltlG I E - Co~mt~r. Florida.
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- IP i0R TiiE PURPOSE Of~ ENROLLING IF POR HOMESTE/lC pURPOSES~
CHI~OREK~IN SCHOO~~ PLEASE STATE rLC.AS[ tHECK: ~
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I F[IR7'~iER CERTIF'Y tbat I.r~11 registar at my local addnss ~vben the r+e~istratton boolcs reopea. aad eomp~ w;tb aJl
ot6er reqnirenaeats oi a kgal raideut ot tliis Stata. ~
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I CERTIF'Y i ve no intention to return to m famer dcmicile. aad I taeend to remaia in s
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Sworn to and subxribed beloro me tAts ~_:dar ot f-d r~ 1 `a •
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. A.D.19~ 7 ~
AS C ERK OF C RCUI T COU2T
ST.. lUG i E CDUNTY, f LOR 1 ~A • ,
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E P U T Y t E R K 0~~„ ~Q .
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