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3t~993'7 ~fi ,
TO THE CLERK OF THE CIRCUIT COURT.
ST. LUG i E ~pUNTy~ FLORIDA:
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TAu is my.declaratton of DomicOe and Citizenehip in the Stats oI Florida that I aa~ filing thi~ day In Rccordance~ ~nd in
to~formitr with Section 222,1T. Flo~ida Statutea.
I nu farmerl a legal ~eaident ot ! llLl ~ 1~ . 1 l~e-J J~ and I
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tesided at However. I ltave ehanged my domicile W ~
latr.~t and NumA.r) ~ ~
and am and have beea a bona Cde resideat ot the State ot f'lorida ~inee ~N'~ day oI
19~ and I rcaide at y t ~t'ti1l~E~ O~ LJ R
~.~p~ J (St+wt aad Number)
~~C ,~,t.t.C~ Q ST. Ll~ I E Couaty. Florida,
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and tlfis statemcat is to be laken as my declaratioa of citize~~hip, actual legal reaidence and domicile in the State ot Fbrida.
IF fOR THE PURPOSE OF ENROLLING I~ i0R HOHESTEAD PURPOSES~
CHtIDREN IN SCHOOL~ PIEASE STATE PLEASE CHECK: ~
THEIR NAMES:
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~ I FtJRTHER CERTIFY that I w~71 register at my local address when the tegistration books reopen, and comply-with all
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~ othei- requirenenb o[ a legal resident of this State.
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I FURTHE~ CERTIFY thst I have no intcntion to nturn to my tormer domicile, and I intend to remain in
3 ~ $ T. L U C 1 E County.
~ lCit71 - • -
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Florida. permanen[i; .
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~s Sw•orn to and subscribed bciore me this day of
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c A.D.19~ ~~~R~ A~CC~~1y ~ L'
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:~s ROG PO I T2AS, Cl K OF C t RCU l T COU~2T ~~L FF;-uJt ,Q.~P
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ST. LlK 1 E COUNTY, FLOR 1 UA • `~A~I 6 f~ 41 QH ~1Q
BY : ~
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" E UTY IEFK
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