HomeMy WebLinkAbout0299 Declaration of Domicile and Citizenship
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?0 THE Ct.EAK OF THE CI1tCUTP COUItT~
ST. lUC 1 E _ „pp~. ~,p~p~ . ~
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ZUb !r m~r deelaratla~ of Domkik and Citirenship io tM State o~ E'{o~ida tbat I am fitias tAt~ dar in aaoo~dsaee~ aad ta ~
~oataemtty ~?ttA Sectioa 222.17. ~'lo~ids 8taEut~s.
t ~rss e~l • i~s! e~saideat ot C~ C~ ~ ~L and I
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resldad at wid N~e.N I bave ehangrd aar domitile to ~
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.na aa?.na h.v. beea. e«~. r,de • at ot ct~e saa o~ Flo~+a. siac. d,y ot ;
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lUG I E ~~r.
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" and t6js stateenent is ~o be takea as mr declaratioo ot dti:enahIp. aetaa! legal rasideuce and domia'le 1a tbe 3tate o~ Flarida.
Ii fOR THE PURPOSE OF ENROLIING If fOR HOMESTEAD PURPOSESi i
CHI~OREN IN SCHOOL~ PLEASE STATE rlEASE CMfCK: ~
TMEIR NAMES: ~
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LUC E COUlMTr lA
~7A D /1 . LD D~C ' ~ ROCER POIt1~AS
_ lERJt C!?~U{T COURT
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S~r~ . L 6« ~ ~ 3 2 42 PM'T 1 ~
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I FUR'PHER CERTIFY that I~?~l register at my bcal addrrs~ ~rhea the registsatioa bovks reopen, aad eomply writh a!!
otber nquiremeats ot a tegat mideet oi thi~ State.
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I FUltT~iE~ CEftTIF'Y tlut I have AO 11lLlAf.IOA to return to mp tormer dorroale. and I intend to nmaia ia =
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Sworn to ~nd subxribed be[ore me tAia l~ day of S'f F~ ~•P~ r T~9 ,
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, A.D.19 77 _ L :
t~AKc~olp~ ~ 0 9 E~k
ROGER FOi TRAS. CLERK OF C IRCUI T COt~tT
SY. LUGIE COUNTY, F~ORIUA • ~
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EPUTY LERK ~
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. ACO Form 71 22
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