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' Declaration of Domicile and aCitizenshi
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OOUNTY. 1~'LORIDA.
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?Mb b~q icc4ratio~ o~ Doa4ieLe aad Citisensbip in the Stats oi Fbrida tb~t I am tittaa thi~ dyr ia ~o~daae~. sad in
a~foc~niy ~ritr Sadio~ 2~2.17. ~'iocjda Statutes. ' ;
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Iwas to~erl ak~al raideat ot ~ aad I
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n~ed at Ho~revsr. I baw ebanged ~nr domidb to ~
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ud sw a~d 6aw bess a bona ~ e+yid~t otthe Stat~ a[I~'fo~rid~ siucs ' day ot
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' aad ti~ ~tat+e~neM is te be take~ as oqr deel~raeao ot dtiseaabip. aetual kgd x~idenee aad domic~e ia tt~e State oi Flocida.
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IF FOR THE rURPOSE OF ENROLtING -IP FOR NOMES7EAD PURPOSESi ~
CNI~~REM IN SCHOOL~. PLEASE STATE P~EASE CHECK:
tNE1R AMES: ~ ~
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I FUB?HF.Et CEATit'Y tLat I ~?7l te~ister at m~? local address ~?hcn the registntion books seopen. and coanpir ~?ith all
attiet e~oests o[ a ieaa! reside~ ot this State. ~
i ' I ao inte tioa to return to m tormer domic~le. aad I intend to nmain ia
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