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ST. I.UC 1 E, _COUNTY, FLOtilDA:
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1'hi+ i~ my dr~lsration o[ I)~~~~icitr 4~J Citucml~ip in thc Stato o[ Flurids that I~tn Ciling this dsy iu ~tcocdancc, and in
con;armity with Srction w.1T. FloriJs St~tutc~.
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I was tarmrrl~; ~ )~•gnl tesidcnt ot _ _ ~ K ~ ~ ~ ~~Q„W ~Vl+~ •nd I
~ , Iptyl ~St,to)
resided at _ ~ 3 7 V ~~~P iQ - };owever. I havo changcd mr domicile to
1Stre~t uK1 Nun~b•
and ar:~ a~d have b~cn e bona fidc rc.idcnt ot thc Statc of Florida ~ince ~ ~ d~?y ot
'p `e ~ 'P~ ...19..~L.~nd I reside at ~ a'~ S ~ l`+ W . ~ ~ K K r ~S
0~,~~ S -t- . tsee+~.e,uuf N~mb~r)
_ v(' 1`P ~ ST. L UC i E Cou~ty~ Flurida.
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~nd i~,i: stnlement is to hc ta3;en a.a my dectaration ot ci:uen~hip~ actual lcgal nsidence end domicJe in t6e State ot Ftu~ida.
IF fOR T1tE PURPOSE OF £~lROLI.ING ~F fOR HOI~SES7tAD PURPOS
CHILOREt! 1N SCMOOl~ PLEASE STA7£ p~~ASE CHECK;
7M~1R NAFI£S;
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ROCER POITRAS
Ct~itK C~RCUIT COURT
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FEH 1 12 si PN'T8
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I FUf:T~iL,R CERTIF~' t~at I wi71 renistar Et r.~}• lc+~nl r.dd-ess whet~ tht :c~esirtio~ bazks reopcn, nr.3 co.^.~ply with r.tl
o1Frt rc~~uircr.~rnts o: t 1•~i;.{1 rr::dent of t'r.u ~!at~.
I F :Tn}i~::t C:.~ I:'I'iFY t~zi I havc no intcniion to return to r.:y for.ner dornicil~, t~nd I iutc~d ta rcn~in in
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