HomeMy WebLinkAbout0319 L'..
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peclaration of Dac~~icite ac~~ ~~~?~zenship r
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100 Tl~ t~.E,RK OF THE CDICtJ1T COURT,
Shy LUG i E OOUNTY. FLORIDA: ,
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~ `'!'his is m~ declaration e7 Doa~iale and (Stiaenshlp is the State d 3.7ozida that I am flint this dy is acoordaace. sad i•
. _ eoaformitT wltb Section 222.17. T'7orida Statutes.
I was fo~reaerl a legal resident a[ n ~ o n _ 1 ~ n ~ ~ t and I
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n:ided ,t A r ro ~ h e o Ae r ~ s R ~ ~ - ~ ~ ~ ITS - Aowever, I6ave chanted mT domieite to
18ts.et sea Nmbwl
- and am ~d have been a bona Sde resident d the State d Florida since -7~1 ~ Q i~ daj d
YYl Ci ,19 and I reside at i 7 0 S .k . L ~.c 1 l Q b y -
1sti..e.ea
pb r f Sf L ue i e~ ST. LUG I E Connti.
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sad this statement ~ to be taken as mT declantion ol; dtisensbip, actual legal residence and domide in the State d Florida.
FOR THE PURPOSE OF ENROIrL. I NG I F FOR HOMESTEAD PURPOSES,
CHILDREN IN SCHOOL,~PIEASE STATE PLEASE CHECKS
THEIR NAMESS
t - W ~ ~ I ~ a m E 1~ ciw IC ~ v~5 . .
S ~a n n o n t~lacw~C, n.S
X19 aUG 23 PN I: 18
_ FILED AN RE OROf 0
a LO~Cs~R
POI~RAS A.
ERK CIRCUIT COt1RT
- RECO~RO t'ERtFIEO
I FtJRTIiEIt CEEtTIFY that I w~71 register at mT local address when the registration books reopen. and oomplT with aD
f other rsgairemenb d a legal resided d this State.
I F[18T1~ (~iTl~'Y that I have no intention to return to an former domicRe, and I intend to remain in
' T. U C I E - Conntj,
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Florida. permanend~.
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X707 S lla b~
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Swoce to sad sobsQibea before me tbi: daT d _ P S L K e .'e ~ ~a
A.D.19
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ROGER POI?RAS. CLERK OF CIRCUIT COURT ,
ST. LUG 1 E COUNTY, f L 1 W1 - -
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