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Home My WebLink About0334 : ` ~ - - . _ . , . _ . _ • : ' Qeclar~tian of Qamicile and G~tizenshi ~ _ p ; . . • ~ ~rs~~ ~ ~ ; ~ i . . ~ TO THE CLERK OR TA~ CItiCUtT OOVAT. . ~ ~ , ~ ST t L UC 1 E ~pUNTY flARIDI~ ~ ~ . . ~ . . • • • ~ ~ ~ . 7'f~is M~r deet~ratloa o[ Doraidl~ aAd (~t~asi~ in NN Stat~ o~ F'lo~ida th~?t I aa ~ tbb d~,p L aeoordane~. sAd ia t eodora~tqr Ktth S~etia? 22a.17.1~'lorid~ Statnt~s. ' ; • , ~ . • . . I~ras mt~e a Mtsl sssident ot apd I . ~Vp~~~ ~ tai~d at .~,Ltt~l~:faE-~f1~~ ~.r.st3~C. No~v~e. I lww cbao~ed ay? domidie to ~ ' i~ta~N~~1al •r - •sd a~s aad 6aw beea a boaa tid~ t+eaW~at ot tt~e Sbt~ ot Flo~ida siues a~-~1 , dy? ot _ ~ . 1lZ~. and I raid~ at ~.T..~ q_. l.~.a?+~~ • ' - ST. lUG 1 ~aieN..~ Couocp: fjoewa, taVr~ ' ~ad tht~ statement is tu be taken as ap dee4ration ot dttseaship. aetual kgal resid~aca aod doa~icyle ta tbs State ot Flo~da. IF fOR THE PURPOSE "OF ENROL~ING . If fOR HOMESTEAO PURPOSES~ ~ ~Nl.LDREN !M SCHOOL~ ~~EASE sTATE ~LEASE CHECK2 . 7NEiR NAMES: ~ - _ : • 110QER Mli ~ - - CLHtX C~~tllf C01MT ~ - - • ~_.t~R~; YERiFIEfI..........~-- : . . - ~uc 2~1 12 os P~I'1~ . 3"763~6 , . I FvR'PHER CERTIFY lhat I w~l reaister at an~r local address ~rben tl~e registntion books reopea, and comgty ~vith ~lt otber requireraents ot s kgal t~esidEA~ OI L~LS S~~4. _ i~~%Yt.i.~~~~L!_ I!a?ve uo intention to niurn tom~? tormer danicl'!e. snd I iatead to remsia ia ,~.~cri~.J . Sr . L u y~ ~ , Count,y, . , tck~f . . Fbtids. pettaaneatl~•. ~ . . ~ Y: j ' : - ' . - . _ i4 . ' , ,•~~~~\~~~~1~1/~~. ' _ j- ~`o.,'•~ - C,' . ; ~ • . ~C~ t.CG.'~+ ~ •t • r w G ; a ' ' i ~ 1 j. ~ ~ ` ? _ /~V • _ • - . f - . ~i'~.r/~~...~r+~~. - ~ . f.`_~: • v ` . _ . - _ " - y'• w 0 .'~`1~~ ' ~ ' ~ ' . . '•7;, . ~ ~ Ri~iA M• ~.~~vRFNl~~ ~p~ _ ~ .~Q ~r. ~.~~?t /n?'~~~ . _~A.. l f~ - u?aa~...~ Sworp to subserfbed beloro me this dar ot . P~ S l~ ~~!S'r;[ e T~l~l ~.4 . . A.D. l9 7T - - R A C RK F' C RCUI T C41~2T . ' ST. LuG1E COUNTY, f oR~da • . . ~ gY: _ - _ EPUTY ~ERK ~ . ~ • • . . s~ . _ tiQOK ~.i~ PAIiE t,it71(,r ~ - - ¦r.n c__~ e.