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HomeMy WebLinkAbout0248 Decia~ation of Domicil~ and~ Citizenship y~ . . . . ~ rorHSCr~ucoF~c~scurrcovKr. ~4~~ ~ . ST. LUC 1 E ap~. ~,p~p~; . t' ~ - 7'bb b aqr dee4rattoe ot Domic~7s aed C'IthensAip in tM St~st~ ot Fiocfda tha! I~aa 61ia~ tl~ da~r in aeeordaoa. aed ia eootocmit~r ~ItM Section 222.17. t'lorid~ StatutM. - ~ . _ _ . . I was ~ a k=sl re~ideat o~ ~ - - ' _ aad I ~ ~ (~i , lae~l n~ided at " Ho~rw~r, I 6aN diaased aiyr doada'le to , aad a~s aad baw be~n a bau tjde rtiideat ott6~ 8tab o~ F~o~ida siaa d~y? oI ~0~, _ . uR.~...,~ai~aa~~ ~ ~ ~~Gt~~t1 - . _ atl NrwMt1 - . - ST. Ll1G I tClvl - ' - ~sd tWs atatement b to be talcea is a~r dedacatioa o[ dti~e~. aetaa! k~al reddenee aad doanieile in th~ Stats o~ Florid~. , If fOR THE PURPOSE OP ENRO~LIN6 If"fOR' HOMESTEAO PURPOSES~ CNILOREN -IN SCNOO~~ ~I.EASE STA~E - itfllSE CHECKS - ~ tHE1R NANESS ` ~ - ~ • . ~ , ~ - . ~ ~ - ~ . ~ ~ • - _ ~ ~i~ ~~I ~ 4~ PN'11 - f . - f~.~tl_I~tE RCO T~Y Fl~, , ~ CtiE1t~CIRCWT~COUitT - AE6M011ER~ffEp ~ _ . _ 3~a~~ I FUIiTHER C'ER1'I~`Y tlutt I w?ql register at m~? locat address wDen the registration books reopen. aad comp~r ~ritb ap other requtrements a[ a lega! e~esideat oI this State. - - : , t . , 1 that I bave ao iuteatioa to retnrn to enr former domicik. aAd I iatend to remain ia - _ ,t1..U~~ ~ .--$T . L UC 1 E ~ Connty. pera~anena; . ~ae,~ . . i F1o*~da. i - ` :~Lij ''CO - ~ 'e . ' ~i. .CG t + . I ~ '••)~'•t•. ~tl,''i ~ ~ ~ ~ . ~ ~ ~ -~~:."~l:v , p ~ - ~ ~ ~I - . , s~ . ~ ~ ~ : _ ~ ~ . r'i ~ ~ ' ~~`2 , ~ ! ~•ln . qr ~'c"~i"~~- ! ~l: - " •,`f . ~ ~ . . . C,'-.......•~e. , ? ' , _ ~ - - ~ ~ . , , , ' .3 { ; ~ , a~.,~.~ ~ i ' ~ u?aan..Y _ ~ f ~ 8worn to and subun'bcd beiore me thb ~ day o( ~ I F . - ' A.D.19_ ~ 7 7 ; R AS E OF GIRCUIT COURT , . ~ - I ST. I.UC ! E COUNTY, f lOR 1 UA • ' ~ . . ~ ; 8Ys • - 1 l-J - I . E P uT Y K '~1'` ~ . ~ ~62 2~7 ~ , E- - ~ _ _ ._s._...~_~i- . ~ _ . ~ . _ - _ . . _