HomeMy WebLinkAbout0927 ' Declaration of Domicile and Citizenship
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T1~ b aq? d~elaratio~ ot Domieil~ and Cit~eship W tlM SW~ ot Floeid~ that I am SW~ tAis dap M aoeo~dana. aad W
~o~loemiUr witb Sattoe 22a.17. Flocjda Stat~s. .
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r~sid~d aR T 5~/ 0--/piv G E_ .t~L vi.~ - How~wre. I baw ehsnpd m~? domia'1s to
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and sa~ aad haw b~ a baaa Gd~ e+aid~at attAe Stat~ o[ F7orida sino~ ~7 ~ ~
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ol~ ST. I.IJG I~~ Counc . F1o~ds.
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° aod this statea~aat b to b~ takea as an deeiasatioo o[ eitlt~n~hip. a~ctual k~al :rsideaa aad daa~ieDe in tb~ Stste ot Fsorids.
Ii i0R THE ~URPOSE Oi ENRO«INR IF fOR NOMESTEAO ~URPOSES~ t
6MI~OREN IN SCHOOI~ PIEASE STATE ~~EASE CHECK: ~
TMtiR NAMES:
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CLfRK CIBCU~I COURT
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I F~JB'1'~iER CEATIF'Y that I ~n71 rcgister at m~ local addrrss wl~en the registratioo books reopen. and compir writb sll
other cequinmeats ot a legal resideat of this State. -
~ I FU81'HER CERTIFY thst I ltave no it~teatioo to retura to m former dom'sa1e. aad I intrud to reuuin in
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g Swora to and subsc~ibed betore me thts dar ot ? S7 ~ v C//_ 3 3~.J~~
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~ ROGER P01 TRAS. CIERK OF C IRCUI T COI~tT =
~ ST. IUGiE COUNTY, F~CRIDA • _
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