HomeMy WebLinkAbout0636 ' Qeclaration of Domicile and Citizenship ~
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TO THE CLERK OFTHE CIRCUIT COUIt'r.
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'1'f~~ b mp deeluatioo o~ Domkik aad Cititeasl~ Ia tM Stat~ ot t~'lo~ida tbat I am filin~ t4is dq ia aooerdaaa. aad ia i
coatoaait,p witb Settton 2~.17. Fiorida Statuta. ~ • ~
I ~?as t~~ a Mtal resident ot ~ ~ ad i ?
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~ D D! 1 - g~r~t. I tiaw el~n~d my doa?ie~ b
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a~d sm and bsve beeu t boaa Gde resideut d the Stat~ d Flaida sian aq? ot ~
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19 7 7- aad I e~esid~ s!
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`T - . ST. LUG i E Connq,. F1oci~„~
" aad t6b stat~ment b t+o be talcea u m~r declarataa d dti~easl~ip. attwl k~al raideoce aad domie~e jn t6e StaLe ot ~7orida.
Ii fOR THE ~URPOSE Of ENRO~LING Ii iOR MONESTEAD PURPOSES~
CMILOREN iN SCNOOL~ PLEASE sT11TE ?LEASE CHECK: ~
TNEIR NANES:
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EO COUP?
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I FURTHER CEItTIt'Y tbat I vv7! seaister at my loal addr~s.s wheu tbe registntioa boolcs reoQeo- •and ~otnplp ~rit6 all
other rcquiremeats o[ a kgal resident o[ this State. ~
j I FURTHE~ CBRTIFY thst I have ao iatention to returo to eoy tormer doraia~e. aud I iatead to remaia in ~
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~ F{orids, permanenci; . ' I
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~ Sworn to s subx 'bed bcfoce me this ~ dar ot .5-
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~ A.D.19..17 -
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R P01 AS CLERK OF C IRGUI T COU2T j
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ST. LUCIE COUNTY, FLORtUA • ~ ;
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EPVT LERK O R ~
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