HomeMy WebLinkAbout0118 ~~~~~a~'~~~C~6~ ~~ri~'C~~.~S~~: ~~~:~~`'E::~~~~~~~'~
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TO Tllf: Cl.l•:1tK OH 'PII~ CIRCUIT COURT.
ST. LUC 1 E COUN7'Y, FI.ORILIA:
This is my dc~inrrtio~ ot D~micile end Cilizenship in the Strt~ o[ i~'iurida ttial 1 a~n Cling this dny in Accordnnce. and in
contormit~• K~ith Section ~.17~ Florida Slatutes.
~ - l.i• undI
I wAS foru~rrl a legal resident of
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residcd al r~' .1lo~vovcr. I have changed my do:nicilc to
(Streot anJ NumDe~) ;
and am nnd havvbeen a bona fidc resident of the St~te oi Florida since 7 dAy ~f ~
p 2
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,19 ~nd l resido at ~
(gtceat uid Nu:nber)
~~r ST. LUG I E Counly,Florida,
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And this statement is to Le lxken as my declaration ot citizenship, actual lebal residence and domicite in the State ot Floridn. y
I F FOR THE !'URPOSE OF E~t~ROLL ING I F FOR H0~4ES7EAD PURPOSES~ ~
CNILDREN IN SCNOOL~ P4EASE STATE ~ PLEASE CHECK: r-~
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THEIR NAMESS
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I FUI{TjiI;R Cr:RTIFY that I will rcgister at niy local ad~ress when the regi~.ration ba~ks reopen. and compl}• with alt_
o.hcr requircmr.nis ot a lc~;ai resident oi this Statc.
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I F11f:7'I~i;;i CFRTIFY f~Ytl-. I I~RVC RO intc•ntiTn tn rcturn to rny fr,rmrr domi~il~•, an~l I intcnd ~o remain in_ i.
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