HomeMy WebLinkAbout0225 ' Declar~tion of Domicile and Citizenship
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ST. LUG 1 E apvrrry. Ft,p~ne:
~ '1'l~t~ b m~r decla~atba ot Domkile and Citit~nship ta tM Stat~ o~ Flocida tbat I ao~ GUna tbls d+p? ia acoadaao~. ~ad ta
~oatanntt,r with Settba 22'Z.17. ~'lorida Statut~s.
I was t~ s lesai reaideac of r~r1 U 1~ - and I
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r~sid~d at g 30U »~+e.eG~C~ _ Aow~wr. I haw etiangrd any doenie~7e to
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aed ua and baw Deea a boaa Gd~ raid~at olthe Stat~ ot Florida siae~ `P, 3 _ day al
~ 19~2,~ and I ersW~ at ~`~'~D I ~ ~ 2.11~ ~
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ST. LUG I E Couaty. ~locida,
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" ud thh statement b to be taicea a~ my deel~ntbu ot atiurahip. act~+all~e~a1 resideaee aad domic~ in tbe 3tate ot Ftiorida.
Ii iOR THE PURPOSE Oi ENRO~LIN6 Ii fOR HOMESTEA~ PURPOSES~
CHIIOREN IN SCHOOt~ PIEASE STATE rLEASE CHECK: ~
THEIR NAMES:
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4'_fRK CI~GUIT COURT
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,t~~ 1 i l 09 AN'77'
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I FUR'T~I~K CERTIFY tAat I~r~l register st m~ ioal addresa ~rhen tl~e registration books reopeo. and eompty xith all
! otbcr requirementa o[ a kgal resident of this State.
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E I 3 FY that I have ao Intrntioe~ to retutn to mr former domiu'k. aad I intend to nmsia in
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~ Sworn to and subses'bed bcloro me thu ~ day of ~ I.i2 C' - ~,n 12.C n
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~ A.D. ~9Z7~
G AS C RK OF CIRCUIT COUFtT
ST. LUGIE COUNTY, FLORIUA ~
BY: • -
. e P uT Y R K BOO!( ~69 NaGE ~ZcS
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AGO F'urm 71 22