HomeMy WebLinkAbout0358 . ~i
tion of Domicile and ~ Citizenship
. Declara
~ ~ 40~'4'79
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.-~~Ct.~rRK OF~ CIRCUTT ~OURT. ~ ~ ~ ~ .
• ST. tuC 1 E oovrrrr, ~`t~ORID~:
TUb b a~? deetaration ot Domklls and Citissaship ia tM 84ats o~ Fio~ida that I aa~ ~ tbis d+V ia ~eooedasce. ~nd in
cootcrmi~y wicb Seecioa 22~.~T. Florids ~
tuees. ~
' n , ,ll`s _ ' and I
I~ras t rmerl a k~l nsident oI 1~1 ~ ~ .
rssided at ~ ~ - - Howe~r~e. I bave chsn~ed nU? d~° ~O ~ .
. . tatrMt ~ I~1aeelKlT-~ ~ - dp o~
snd am aed l~av~ beea a Doas Gds resident ot ti~e State c[ E~'IorW~ ~na~
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_ _ 19~.~. and I e+esids ~t -3 ~ - leawc ~ Hoobel
' ST. LllG I E Conacr. Fto~ias,
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aad this stalement is to be takea as op deelarstioa o~ eitizen'shiP. setualle~al re~denee and domie~7e in tl~e 3tate o[ Floeids.
~ IF i0R THE PURPOSE Oi ENROLIING Ii fOR HOMESTEA~ PURPOSESi
CHIIDREN IN SCHOOL~ PIEASE STATE ~ PLEASE CHECK: ~
THElR NANES:
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- c:'RR CiRCt~~t to
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- ~UN ZD IZ 31 PN'TR
,
- 40'7479
~ I FUIiTHER CE~iTIFY tLet I w?~1 register at my local address ~rhea the registntion bocks tcopen. aod oomP~7 ~
j other requiremeats ot s 1ega1 nsident ot this Stste. . -
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E i E , that I have ao inteation to return to my former domicik. and I iatend to reroain m
~ ~ ST . L U C I E . C~atY•
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Florida, permanentl; . .
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~ Sworn to and subscribed betore me this ~ day of -
~ A.D.19. ~ 8 .
ROGER PO 1 Tf2AS. CLERK OF C I RCU I T COURT
ST. LUG 1 E COUNTY, f LOR 1 UA
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