HomeMy WebLinkAbout0357 ' Declaration of Domicile and Citizenshi ~
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TO Tt1E CLERK OF THE CIRCUIT COUEtT. ~ ~
S~. Li1G 1 E Ootnwrr. FtARtDA: -
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Tbts b aqr deeluatiou ot D~mleils and Citl:en~blp in the State ol Fbtida tbat I am Clias this da,p in seoo~d~na. and ta ~
coalormltr witA Sectioa 222.1T. Flo~rida Stdute~. `
I~ras t~ a kaal resideat ot ~
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nsided at :~a~~iil . No~rever. I Aaw eAaaged aqr doiaieiie to
!~K aad N~1 - - .
~ad am aad have beeu a bona C~de re~ident otthe State otFbctda su~os 7 _dar ~
1!__, and I resids at - 4~'1~P' ' .
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_~x ~Gc~.~~~ ~ ~ ST. LUG I ~e.aH~e.r~ -
Councy. F'Iorida.
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' ~ aad t6b statement b to be takea as nq~r declaratioa oI dtizeasbip. utual kg~1 residence and damic~e in tha Stato o[ Fbrida.
IF fOR THE PURPOSE OF ENROLtiNC Ii i0R NOMESTEAO PURPOSES~
CHttOREN tN SCHOOL~ PlEASE STATE ?LEASE CHECK: ~
THEIR NAMESS
~~~~Pv" mEp ANO RE40AOED
=T.lUC1E COUNTII f~A.
CtERKCC R ~IT COURT L ,p _
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- . ' Au~ 5 !0 38 A~!'~1
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i FURTHER CF.ItTIFIt chac I.n~l register ac my bul address v~rhea cbe regiseration books reopea and eomply +~vith all
otber requiremeats ot a kgal raideat ot this Slate. -
I,,,FUATH ~ CE TIF`Y• that I hsve no intention to return to m former domiale. u~d I Intead to remain ia
E/dr]~ ~T . l U C i E ~ Couatr.
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Swosa to snd subsettbed bctote ms this dar- ot ltU~~2l ~c
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R RK F C RCUiT COl~2T • ~
ST. LUG 1 E COUNTY, f ~OR 10A • ~
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