HomeMy WebLinkAbout0505 v-
Declaration of Domicil~ and Ci~iz~nship ~
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T~l~ b aqr dalantloa o~ Domicik ~ad Citisce~.sAip ia tM State ot Florida t6at I am Qlias this dqr in ~aoocdaace. and in
~oatotwll,~/ Miita Seclion 228.17, ~'lorida &atutes. - ~ . ^
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I was ~rn~r a lessl tesWeat ot ~ ~ ~ , C ~ . ~
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aad aai aad bsve beea s~oa~? Ade resideat ottb~ Stste at~'lorids daee r'"' ...._.._.._.dy? ~
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na 7` S~ • k c/~^ - ST: lUC 1 E comtr. Fiorida.
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sad tl~b stateeaent b to be taken as aqr deelarstion ot e~tiunsWp. adwt IeEd reaideACe and damaidle lu th~ Stats oi Florida.
Ii iOR THE~PURPpSE OF ENROLLlNG IF FOR HOMESTEAO PURPOSES,~
CHfLOREN IN SCNOOL~ Pi,EASE STATE ~LEASE CHECK2 ~ l.
THEIR NAMESS
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- ?i1.E0 AflO RECORO~~
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C~ RK C R~ CO~RT
R~D t?ERIFIEO 'Q•
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I F.t1RTHER CERTIFY that I w~'11 register at eny local addrss~ whcA ?he ngistrstion books reopcn, and eompl~r ~ritb ati '
other reqnisementa oi a kgsl raident ot this State. . ~ ~
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. I FURTHE~ CERTIF"Y that I bave -ao iatention ta ntnrn to m to:arnr domie~e. uid I tatend to remain in E
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Floridi. permascati~ . _
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SMOrn to ~nd subscn'bcd be~oro me this da~r ot ~ ` U C 1 t~,_.. r! :
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A.D.19~.~ 7 -
R AS C E K OF G IRCUt T COU2T
ST. LUC I E COUNTY, f LOR i UA • . -
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