HomeMy WebLinkAbout0620 uec~~ration o~ uom~c~~e ana ~~Y~~ensn~p ~
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ST IUCI ~
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?f~ts b aui deelaratio~ o~ Oo~nkile ~nd Citir~ea~bip in the State ot ~'brida that I run t~Ua6 this dqr ta a~oocdaaee. aed ia
~oato~miyr witb Secltoa 2?Z.17. Flo~ida Statutes.
I Ma t rnn~ri a leaal residerd 4-~ a~ ~ 4 ab~ e s ~ ud I
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t+esid~d a! 17t o Q a? ~h 1~Q a_ v Ho~rever. I b+iw cAaaged aqr domicile to '
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aad un aed b~ve beea a boas tida resjdeat o[ the State ot Florida atnee A~' dr,p ot
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' aAd t1~is stateaieai b to be takeo as an~r da4catloo ot dtlzensl~fp. actuat kgal nsldeace and domicile ia the State o[ F{orida. . :
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. If fOR THE PURPOSE OF ENRO~IING IF' POR.HOMESTEA~ PURPOSES~ }
CHILCREN IN SCNO01.~ PI.EASE STATE ?4EASE CHECK: ~
THEIR NAMESS ' ~ ~
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I FURTHER CERTIF'Y that I w~71 register at my locd address ~?hen tbe registration books reopea. and complr ~vith all r
otber cequirenoents ot a kgal resideQ! of .this Stit.~c _ . s
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r I FUR1'HE~ CERTIFY thst I hsve no iateotion to return to m~? farmer domici7e. an~ I intend to remsia in
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A.D.19.Zr
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~tOGER P01 TRAS. CLERK OF G 1 RCU I T COl~2T
St. LUGIE COUNTY, fLOR1UA • .
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E UTY LERK
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