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HomeMy WebLinkAbout0279 ' Dectaratian of Domicile and Citizenshi ` p ~ ~ ~~~o,~~~~~. . ....._5,~,~..i~UC i E ~ ,,,_oOUNTY. ~'LOSIDI~ . . • • . ?t~b b s~r d~el~rstio~ of DomkiM sad ~t~auA~ ia U~ &at+~ ot Flo~ida t4at I ae? lWa~ tMa dy ~ aeewd~ne~. s~d ia ao~toe,~ witb S~ctjon 222.17. !'lo~ida Sl~atueM. • ~ , ~ , • I was n r s IKat ewidat ot aad I . "%~2C-2. C~1lt.r~~ - t~.w ~wid~d at Aow~r~.I lia~n eksapd aqr doaAkiM b ~ {INMt ~M NrNaf . a~a aad hsw bNa a boaa Rd~ raid~ a[ tM 3tat~ ot ~o~ida siaa ~ diqr o~ _ ~ 1~~=.. aad i raW. a ~ . ' ~ ST. lUG 1 E ~ ta~ - ' aoa t6is statemeat ts ~o b~ talcta ss aa~r d~eLe~atioa ot aft~hip. aetw11Ka1 r~aidesa aad domidM L tM 8tat~e oI Florid~. Ii fOR TNE ~UR~OSE Of ENRO~LINfi Ir i0R HOMEST[AD I~UR'OSESi CMIli1REN IN sCH001:~ .~LtASE STATE ~~tASE CMECK: ~ TML1R NAMES: ~ ~ f1~EO AND IIECORDEO ~ • 3T. ~UC~E CoYNTr flA. ROCER POtTRAS CtE'?K CIRCUit COUpT . • . , yER~c;EO..~...~.-- . OCt 11 2 Sw P~!'11 . - ~~82332 I FtJaTHEtt CERTIE'Y tlut I~n71 tegister at m~ loea[ address whw t1~e n~stratjoo booics reopea, a~ed oompty ~t6 al1 otlier reqairemeota ot a legal res~~ot oi t6is Stats. ~ ti~at I hsve no int~satioa to retur~a tom~? tora~er domia'le. aad I iota,ad to remsia tu ST. Lut~E ,~t , - r . . . F'~ohas. pe~end;. ~ ; t i ~ . ~ : v yJ~+.-~.: r,~, - : : % ~ : G ~ i N~_ ~ ~3 ~ • c~; ~ ' w'ri1~• .Zr'• v ~ - :~~i.~~~~ . . ~ ~ , . ? ~f'- ~ . . : t~: . ; .~r.... . . -,i 'G , ~...,t~ " ~ ~ .ct~- , , SMOra wbsesibed belas a~ tWs da~r ot . . A.D.19.~.~, ~ER PO) TRAS. CLERK Of G tRCUt T COU2T ST. LUG i E COt1NTY, f lOR 1 oA • , . 8Ys ~ . . . , cPUtr cERx ~ : ~ ~ • ~ . • . ~ 60u~C ~7V PI~CE !i l t7 - - - A C f~ a':. . . .