HomeMy WebLinkAbout0620 Vec~arat~on oY uvm~c~~e a~ ~u ~~~~~c~ ~~N ~
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TO?HE CLE1tK OF'PHE C1RCUIT WURT, 3'72458
ST. LUG 1 E apuN'1'Y. FI.ORiDA: i
~ Tats b mp d~eluation oI Domidi~ u+d Citis~aship ia tM Stat~ ot ~'lorida tbat I am 51ia~ thts da~r ia aoooe~daoa. aad ta
~oatormit~ ~v~iea S~etion 222.1Q. ~'lo~ida Statut~s. '
I was t
mr~* s te~al ra~deat a~ !N! (~iyX v~i/1~~ _/~Dix f ~ C~ J~ aad I :
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n~W~d at 'S~p~ . l s1,c_~11 n( ~ ~ _~to~rw~e. I tuw ebaa~ad mp doakDe to
trNt a~d NrsOKI • ' ~
~ed sm and baw be~a a poaa fdt reaideat ot the Statt o~ Florida aiaos 1.1~ ~ dq o~ t
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- aod this statemcnt is to D~ Wcea as aq? deeiaratba ot dtisensldp. aetual kgd resideaos ~ad domieile ia tM 3tate ot ~'lorida. •
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IP fOR THE ~URPOSE Of ENRO~LIN6 Ii fOR HOMEStEAD PURPOSES~
CHiLOREN IN SCHOOL~ P~EASE S?l1TE ?LEASE GHECK: ~
THEIR NAMES: ,
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. ST:lYC1E COYMTI?R~E~
. ROQEiI r01T1lAt lA.
CLERK CiRCU1T COURT
' " 'f•'•r VERIFIEp
~ . Ju~ 19 2 s2 PM'77
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I FUATHER CERTJFY that I~n71 registet at m~ bcal address wbea tbe reo !~ntioa books r+eopen. and oomply with aU
j ot6er nquinmenta ot a kgal.resideot o[ t!~ State. ~
~ I FURTHEZ CERTIF'Y t I rave oo intentinn to retnrn to m tosmer domia'k. and I intend to renuin in
~ ~1 ~ 1 O _ ~T . L U C 1 E . County.
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Florida. permaneaci; .
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Swora to~iNd ~Aliiliribed bctoro me this day o1 L T ~~-J
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A.D.191.~.
R P01 TRA , C~.ERK OF C IRCUI T COU2T
SY. LUG 1 E~ COUNTY, f lOR 10A • .
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BY: ~
EPUTY LERK
: ~ a~ ~71 ~ 620
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