HomeMy WebLinkAbout0328 ' ' ' ' n Citizenshi ~ ~
• Declarat~on of Dom~c~te a d p
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TO TH~ C~.EAK OF THE C'IRCUIT OOURT. '
ST. LUC 1 E apt~. ~,p~p~;
'1'hb b my deduatioa o~ Domidb and Citir,enship ta ths Stat~ ot Fb~ida tha! I aas t~liaa taEs dqr ia ~coordane~. ~nd Ia
~oetoeader ~ricb Seetion 222.1T. Rlo~da sacut.s.
t.ras ~.leaale+eajdento~ ~'!~/~TT/fiYmoGif _ ~h!'f a~di
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t~sid~d at ~iL .~-sild ~G3 ~Il/ G~D~d ~d - Ho~we. I luw ebaaaed a~r domidl~ w
ISteMt a~i Nw~e1 ~
aad aaa aad hav~ be~n a boaa fide resid~at ot the Stst~ ot Florida siae~ day o~
111~'~, aad I e~esW~ at /D !D f~i~.+~Z'M/~N
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~c r,c,o, ~ ST. lUC I E Couacr. F1aid..
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- ~ad this statemeat 1s Lo be talcea as aa~r deeiantton ot dttsewhip. setual k~al rssideeue sad domic~7e In th~ 3tate ot Florida.
If fOR TNE PURPOSE OF ENROILING Ii fOR NCMESTEAO PURPOSESi
CMILOREN IN SCHOOL~ P~EASE STATE ~~EASE CNECKS ~
TMEIR NAMES:
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~~OEO S
FLA. ~
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~~~4tK CIRCUIT COURT
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I FURTHER CERTIFY that I~r~71 register at mr local addres~ ~rheo the registration books reopen. aad eomPly ~vitl~ aU
othcr requir~emeats ot a kgal resident of this State. - . j
~ ~ CERTIF'Y thst I hsv oo intrntioa to rsturn to m tormer domie~e. and I intead to nmsin ia ;
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j /~T /o ~~e rc ~"l~ _ ST . L U C 1 E , CouAtr.
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Florida. permanead
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Sworn to ~nd aubscsibed bctore me this day o~ f„Q f,
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R I AS GLERK OF C IRCUI T COl~2T
ST. LUC i E COUNTY, FI.OR 1 UA •
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B~r . _
ePUTY LERK
. . saa~ 269 PA~E 328
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, ACO form 7! 22