HomeMy WebLinkAbout0586 ' i3~eclaration of f~orn~cile and ~i~izenship
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TO THE CLERK OF TNE CIRCUIT COURT.
_~ST L l1C 1 E ~ ppUN~i~y. FI,pRIDA: ;
~ Thta b mr deeluatioa oI Doenieilo and Cilisen~hip ia the S/a1~ ot Fbrida that I sw t~ias tAis dq ta accordanoe. and tn f
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~ I wu [ormerl a k6a1 reaideat ot S o n1 •J 2. NQ2~2~~~¢~~ aad I {
1Ae71 lat~wl _ ,
_ Ho~re~ec. I have ehanged m~r domie~e to ~
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aAd am and b~ve beea a bons fide resident otthe Stat~ o~ Fiorida siae~ ~ 7~- dar ot ?
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19_.... aad I rhid~ ~t ~ 0 j r QC~ A-,N ~4 -~700 ~
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' ~ad this statemeat is Lo be taicea as mr dee4ration ot citiunahIp. aetual kga! resideaee aad domicik in t6e State ot Florida.
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IF fOR THE PURPOSE OF ENROL~ING IP iOR HOMESTE/1D PURPOSE ~ ~
CNII~REN IN SCHOOL~ PLEASE STA?E PIE/lSE CHECKS
THEIR NAMES:
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APR 5 II ~9 AN'17 ~
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' t FURTHER CERTIFY that I will register at my local address whea the registratioa 6ooks reopcn. and eomply K ith ali ~
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i other requirements o[ s legai resident o[ this SUte. `
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~ I FURTHEZ CERTIF'Y thst I have ~o intention to return to my tortner iosniaM. and I iatend to remein in ;
~ • _ ST . L UC i E _ CouM~.
(Cit7) . . ?
~ Floridz. permanenci~. ~ ~
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~ INam.!
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Sworn te ~nd subscritxd bctoro mo thisw day o[ A -1~ JT~~ ~A~ C~`
~ . A.D.1917 - ~IV S P..II.) ' `•~I~ ~ /'~.~.6~~
ROGER POI TRAS~ CLEF2K OF C{RCUI T COU2T 3~ ~7)
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ST. LUG I E COUPJTY, f L.OR 1 UA •
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EPUT LERK ~C~~ ~ 3
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