HomeMy WebLinkAbout0986 .
Deciaration of ~omicil~ and Citiz~nship , ~ ~
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e~aided at /~ov,e~>Ai.t~ ~~1~2A~E - Ho~. I Aaw d~saced aqr domklM to f
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aad m aad baw beea a boaa t~de reddeot ottbe Stats oi Florida siaos _ m dy? al
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~Il ~L ~s ~~c.,~.vd ST. LE1G 1 E c,o~mtr. t~.
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sed t6is statemeut L to be W~ea u aqr deelaratba ol eiti~ewl~ip. aetnal kaal residenee aad ~omkils ~ tbe 8eats of Flortd~.
If fOR THE PURPOSE OP ENROL~ING . Ii fOR NOMESTEAD PURPOSES~
CHitOREN IN-SCHOOL~ P~EASE STATE P~EASE CNECKt ~/'C
T HE 1 R N A ME s i ~ • ~-r---~
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~ ~ ~ ~ ~i~ .i~ g 4~ ~-;7~
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AND RECOIIp~O
t . St. RQ6fR
PQi Ras U.
s CLEIIK CIRL't!{T COtlilT
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~ 1 FlJR17tEIt C,ER1`IFY. t6at I w,~i ngister ~t aqr Iocal address when the ngistratioa boo~ts r~opea, and eompy ait6 aU _
t otber reqnireuxnts ot a kgal nsident oi tbis State. - -
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{ I CEItTIE`Y t6at I bsve no iatention b return to my toraur domie7e. and I Lntend b reauin in .
€ F'lI1~TH~i~_L~ :~~'~itl~J . . L U C 1 E , County.
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Sworn to aad:ubxribed bel~e dis t6b dy? Ot -
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R A C RK OF C RCU! T COUtT .
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