HomeMy WebLinkAbout0161 ' Declaration of Domicile and Citiienship
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~ ro ~~E cc.Earc oF ~i~ c~acurr oou~rr, ~ '3~18•30
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ST. LUG ! E ap~~ ~,p~DA: ?
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'1'f~b b my deeluation ot Domteils and Citizs~bip In the Stat~ ot Florida tb~t I sm Gtiar this dyr ia aooordanoe. and in ~
canto~miyr witb Seetioa 2~'..17. F'Iorida Statuta.
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~ I ~ras fo~ a kgal reaident ot b e r~ 1. ~ r e_ ~ ~ ~ I ~ !
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TM~ a~ Ho~w~?er. I~ve elun =
18s+..t aad Nooe..I , 8~ ~ domieile to ~
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and ua.nd hav. been. boaa rde res;deac ot cAe sace ot F7orida stncs Z., d.y ot i
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Fs~'-h P~_ ST. LUG I E ~,a~y~ i~
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" aAd thb statement ts to be takea as eny declarat~on ot citisenahip. actu~l kgal residee~ee and domie~e L? the State ot Flaida. i
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Ii fOR THE PURPOSE OF ENRO~LING Ii iOR HOMESTEAO PURPOSES~
CH~L~REM iN SCHOOL~ P~EASE STATE PLEASE CHECK: ~
TNE{R NANES:
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I FUItTHER CEEtTIFY thst I wi11 register at my local addres~ when the registration Doolc~ reopen. aad complp with ~U ~
other requirementa ot a kgal tesident oi this State. ;
I Ft1RTJIEZ CE TIFY tlu~t I have no intention to nturn to my former dauicile~ and I iatend to remsin ia ~
' n~ :Q~.~ y ST . L Ut 1 E . County, F
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Flarida~ permanenci; . ~
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Sworn to and subscrilred bctoco me this ___1__, day ot ~ In ~ i~ A '
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A.D.19.~ 7 _
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ROGER P01 TF2AS. CLERK OF G IRCUI T COI~tT ~
ST. LUCIE COUNTY, F~ORIUA • ~ t
BY: ~ ~ '
EF'UTY LERK ~
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~ ~r~i ~ PA6E ~61
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