HomeMy WebLinkAbout0371 . ~ ~
' Deciaration of . Domicile and Citizens~ip
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TOSNE t~+BRK ORTl~6 CUtCt11T COVRT.
ST. LUC 1 E ~ ,--ap~. ~p~p~
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?ri. r w? a.ela~stio. et Domkii..aa au~~Aip in u~. s~.~. ot I~1w~{a. eiu?t t ao. m~ thi. a.,p h.~eo«d..e.. ..~a 6~
ao~doemit~ witb 8~etios 22Z.1T. Fbcida Statuta. . . ~
Z wa~ ~ a Mpl e~aid~ut o~ S ~ ~Tl,~ a~d I i
~wW~d at ~ trev n da I~. • - Ro~w~a~e. I haw e~a~+~d aq? domidN te ~
• iaeeMt rd N~Mr1 • ~
aad ~na aad 6aw bNn a boaa Gd~ raid~at dtM Stat~ ot Floeida sise~ _ ~q at
De~/~°l~ ,_.19~, nd t~ at _ rno r; ri d i~r• ; i
~ «rMerMN~t.d o ~
r c e~ _ , ST. lt1G 1 E ~y. ;
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' aod ehi~ statement is t,o b~ ttks~ as mzr d~etscation ot eiti~nship. utw14~a1 raid~aa ud aomiciM u t!~ Sta~e ot ~'1orid~.
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~f i0R TME ~UR/OSE Oi ENRO~LING Ii iOR MOMESTEAO *URPOSES~
CNiLOREN IN sCM00L~ ~IEASE STIITE ~~EASt CMECKt ~
t tIR NAMESt
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F EO ANO RECORDEO
' f~~UC1E C011MTY F~A.
ROCER POITIIAS
CIERK CIRCUIT COURT ~
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~ ~ ~ OcT 1~ II 3~ AM'1T
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I FvATi~ER C~EATIFl! tl~at I~1 resistet st m~ 1oea1 addr~s w6en tbs re~strstio~ beoks r~opew aAd oompb? w?itb all ,
otber requiremeats ot a legal raideat ot this State. ~ .
! I thst re no iatentiaa W ret~ra ta m~r lo~mer ~'k. and I iotead to remain in ;
; Fu~~ ;~n r~ da~, ~ ST . L u c ~ c . Conntr. :
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SMOro to aad subxrtbed beton me this __s'=~_ dar ot ____~T . C~',~ ~/~lr. 3
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~tOGER POt TRAS, CLERK OF C lRCUI T COl~2T
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~ ST. LUGIE COUNTY, fLOR1UA- ~ ,
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