HomeMy WebLinkAbout0458
, ~ ~ Deciaratior~ of ~3omicite and Citizenship `1 '
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~ TO THE CI.ERK OF THE CIR~UIT COUAT. . : ' . `
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' ST. LUC 1 E____~___~pUNTY. FI,pRtpA; - ''r
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Thd d ap? deslantioa cf Domkii~ and Cttls~oship ta tM Stst~ ot ~'lorida tbat I am ~ tAis d+y? Is soeordano~. and ta ~
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cootonaity with Sectioa 222..17, F'loeida Statutes.
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I wss f~ a le~at e~o~ideat ot ~.._.LY1L'~ €
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n~ided at 1~ a rY1 G~ 4 f d ~ 4 n~. - Ho~rever. I bsw eb~nged aq? domia'le to '
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and am and hsw been ~ bons tide twident ot tM Stst~ ot ~'lorida siaa - ~+U~ ~
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~ 19 ~ o- aad I reside at .3 ~Y k n Dlril~ , • ;
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rt S'f'. ~ ~te~ e, ST. LUC I E . Couat~. Florids. . ~
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and this stateenent 1* to be taken ss a~? deelsration oi dti:enship. a~etual lsgal residenes and do~ai~aHe in tbe State ot ~`{orids. ~
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If FOR THE PURPOSE OF ENROLIING IF FOR HOMESfEAD PURPOSES~
CHILOREN IN SCHOOI~ PLEASE STATE PLEASE CHECK:
THEIR NAMES2 . ~
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I FIJHTHEI~~CERTIFY tbat I~1 regist~r at m~ local addsess when the registration bool~s raopen. and oompt~ writh sil `
other requiremenLs of a legal reaident of tbis State.
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I ~T tl~at I have no intentiou to ntwa to m lormer doasieib. and I iatead to remain in ~
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Florida. Permanentl; . ~ ~
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Sworn to snd subsen'bed before me Lbis ~ day oi ,
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P01 TRAS G ERK Of ~C IRCUI T COl~2T ~
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ST. LUGIE COUNTY, FLORtUA ~ ~
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EPUTY LERK .
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