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TO THE t:I.ERK OR THE CIRCVIT OOURT• ~
~~.,_.OOVNTY. FLORtDAt
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TMts M a~p? d~elaratioa o~ DomkiN ani Ctti~o~ ia tb~ Stat~ e[ ~'Mrida tlwt I aa 61i~ tAis dy ia a~cerd~ao~. uid ~n
~e~focaAtyr witl~ Seetion ~S.1T. Florida Statnta. -
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~ t wss t~er~ a M~al »sideAt ot ' aud I
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ewid~d at Ho~ne.l6aw eUan~ed aqr domieil~ to
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sed aa~ aad baw b~ tid~ ewid~nt ot tba Statt ~f ~'lorid~ stsa la~r o~
t ~ 19~ aod I r~sid~ d,~,~d~~LTl'-1~_ ~ • .
~ ~ ST. LUG 1 E~••+~~
--^r IQW= . Couot7?. Fbeida.
` aod thts statemeat L to be takss as a~r deeluatfoo at dtl~enship. aetw! k`al r~sid~~a ~ud do~ L the Stat~ o~ Fbrida. .
Ii' fOR TNE ~URPOSE Of ENR04LING Ir iOR HOMESTEAO PURPOSES~
CMItOREN IN S~HOOI.i PLEASE sTAtE ?LEASE CHECKS ~
TMEIR NAMESS
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I F[J~tTHER CEA77FY that I wn'll re~ister at mr local address ~rhen the re6istratian books reopea and compty writh aU
' other requlrements ot a kga! nsideat ot this State.
I E~ C ~t~t~ have ao inttation to retnra to m torarcr ioaaicile, and I iatead to remain ia
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f'lorida. permaneati; . ~
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: SMOrn to and subxrilxd bcforo me this ~ day ot ~
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GER P01 TRAS. CI.ERK OF C IRCUI T GOUtT
~ sT. ~uc i E couNnr, FLOR ~ ~n •
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