HomeMy WebLinkAbout0260 vec~ara~e~on ot uom~c~~e ana ~~Y~zensn~p
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TO THE CLEIiK OF THE CIEtCUiT OOURT, . ~
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_ST~Ll1C1E . ~ :
t70UNTY. ~'I.ORIDAs
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Thb b aq? deelaratfoa ot Domtcile and Citlseaahip in the State o[ Fbrida that I am Gttna tAt~ dyr ia aoooed~nt~e, and in
conformit~r with Sectioa 222.17. Florida Statutes. , i
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t aas t cri s legal testdent oi ~ j ~ {
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e~eslded at , n~•f'1 s•~• n'!~~ ~",~y,~- •
Q~o~,.y~'~~~owrovsr, ve et~an~ed m~r domicite to i:
tstn~t as~ NwsO~t! , ~
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aad am aad bave beea a bo~a Gde realdeat at the State ot Fbrid~ stuee I d~y ot .
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~ • `!".,C,u,r~., ~ ST-. LUG I E ~ G'onay?. Florid.. - ~
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~ tDd tIt/S i~tlmOA~ L1 ~O b0 Lt~lll tf A~ <I!'CLl~[I011 OI C~t~Rl~. ~ctu~ kga! raaidenec and domie~e Ia tAs 3tato ot Florida.
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IP FOR THE PURPOSE OP ENROL~ING If POR HOMESTEAD PURPOSES~ ~
CHItOREN IN SCHOOL~ PLEASE STATE P~EASE CHECKt
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c.ty ini.~..,,..J . ROQEA ~'tA - i
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I FURTHER CERTtE'Y that I w~l register at mr loeal addr~ss whea the registntian books reopen. snd oomplr-with ~11 -
other requireraena o[ kgal tesident of thi~ Stata. ~
T F Z~ CE IFY thst I havc aa'_i~fention to retui~n to m former doniieile, and I intcnd to remai4 irt '
.14~~ n ~ ~ . - ~T . U C E . Countp.
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Florida. ~?ermanenct; . ~ ~
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S.roru to aod s bxcibed bcfore me this ~y ~ day oi _ • ..(~1t,C',v ` _
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A.D.19.Z7~.~ .
~20GER P01 Ti2AS. CLERK OF G IRCUI T COU2T
ST. LUGIE COUNTY, fLOR1UA ~ . _
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. PVTV IERK .
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