HomeMy WebLinkAbout0580 . ~~c~ara~~an o~ uom~coi~ a~~~ ~~i~;~e'~snlp
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TO T11E CLERK OF Tt[E CtRCUtT COLRtT. ~
ST L UC 1 E ~
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~ '1'hb b tnr deelaraiton o~ Domieile and Cit~enahip in the Stat~ o~ F{orida that I am CdIng this dar tn aaocd~nca, and tn
tor~totmity with Scct~on 22".1T. Florida Slatute~.
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I ~ru ~aemc~ly a lesal ~eaident o~ ~ ~ Y
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teslded at ~ Ho~nv~e. I have ehanged mr domicJe to
Istn~t aud Nam~~t
and am aad have bc~n a boaa fide re~ident ot the State ot Fiorida ainte ~6 -~f ~ l d•r ~
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•nd tAis statement is to be ti]cen as mr deelaratioa of eitizea~hip. actual kgal rc~idenee aad doaucile irt the Stato of Ftorida. _
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Ii POR THE PURPOSE OF ENROLLfHG - I~ POR HOHESIEAO pURPOSES~ ;
CHII.OREN IN SCHOOL~ PLEASE STATE PLEASE CHECK: ~'---~-"i
TNEIR NAHES: M 1
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I I~'iTRTHER CERTTFY that I a ill register at my local addres~ whea ihe.mgistration books reopen, ind comply with all ~
other rcquirements ot t lega) resident o! this St:te. •
~FLJ~THEZ CERTIFY thsl I have po intention to return to my totmer domicile. snd 1 intcnd to remain in ~
'~•:fl•-~~'~l~ St . L u C 1 E , CountY. t
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Sxorn to an c(oro mo thi~ l~ day ot ~y ~1~ • 5~S ~s~ '~3/1`S 4
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ROGER ~'0 t TRASL CIERI< OF C IFtCUI T COU2T YfR~FiES~_,~.~+.___ >
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