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Declara~ron of Dom~c~le and C~t~z~nsh~p y=
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TO T~ CLEAK OF THE CIltCUTT COURT. ~ ~ ~
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ST. LUC t E ~
OOtINTr. FtARtu/~t _ e
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?Ub b aqr deel~ratba ot DoenidM aad Citiss~~hip le tM State o~ Fbrida tbat I aa Qia~ tAts dy ta aoo~edaaa, aad ia 1
eoaloe~ait~ ~ItA Se~etioa 2?'t.lt. E'lorida Statuta.
twa t mer ~ ktal re~ideat o[ ~ !~/~?t ~rd i •
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raid~d at . ~ s_...(,~o~~ ~r~r'? Ro~w~w~t. t tiave cbas~d ayr domtdls to
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sed am aAd liaw beeu a b~a Gde re~ideat o~the Stat~ ot Fbcida siaee . 3
O da~? at -
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aod thb datemeAt is to bs taken ~s a~r dedaratioa ot dt~ensldp, setwl k~sl t~esidenee ud donakib ta tl~e Stat4 oi Fbcida.
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IF i0R THE PURPOSE OP ENROILING IP fOR HOMESTEAO PURPOSES~ -
CHILOREN IN SCH00l.~ P~~ASE STATE t~EASE CHECKS ~
THE IR N11MES2 .
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CIERK CtllC{f1T COi1Rt
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,I f'UKTHER CEATIFY that I w~l s~ister at mr loeit addras ~rhen the rcgistration booics reopcn. aad eomply aith all
other requiremenb oi a legal nsident of thi~ Slste. .
I CER1'IFY tt~t I lutve no intention to return tom~r lormes domkile, aud I intead to recRain in
~~,`t ~/'c-,~ 5T . L u c 1 E , County.
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Fbrida. permaneAij;. ~
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S~o~1w~,qdstlbstribed be[ore mo tAis 710~ dap of
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gOGER' PO! TRAS„ Cl.~RK~,Of C IRCUt T COU2T -
ST. lUC 1 E COUN7'Y, f LOR 1 dA ~
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T~~ EPUTY LERK
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