HomeMy WebLinkAbout0520 . --_Y~.:Dec~ara~~~-nY~of3o~icle~ anc~~-~i~zens~i
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1 E COVN'rY. FLORIDA:
~;;'llds is nq deeL:ation d DomkDe and p is the 8taf+e d Florida that I am ~ t>ria dy is aoeor+dano~. and i,
. _ eoafeemi7, wit>. Section Y>~.19. Florida 8tataus.
Z was f s fetal rosideati d
resided at,.1Y.~ - a w~ ;IC.T`. ~ 8o~wtwr.I law ehaa~d m~ domie~ too
t8t~.rtaa~I~larMel
_ aad sm and haw bean a bona 5de r d the State d Florida siooe ~ ? dsi d
19~~. and I reside at ~~.p~..__~.~
. t8a..cdlimb~el
Q,,' ,,o e, _ ST. lUG I E Connt,~• ~7orida. ,
7"" 1Q4f
and this atat~ent is to be taken as ~ deeLratiom d dtiuaebip, actual k8a1 resldeaos and domicile io the State d Florida.
Ii iOR TNE-PURPOSE Oi ENROLLING Ii- FOR HOMESTEAD PURPOSES,
CHILDREN IN SCHOOL,•P1.EASE STATE PLEASE CHECK:
TME1R NAMES:
i
456189 •
- ~ 1979 AU6 24 AM its 37
. _ ~TA~ POi ~AfITA.
p ` _ pp~~/w~~~YKSnn YtMII~RrV~.~ 1
I FtJATIiFR (~iTII''Y that I will st aqT local address when the reg~stratioa boots :eopea. and ooffipiT with all
otbes rsgoiremente of a lesal resident d this State.
I FUl;TBER CQtT1FY tbst I haw no intention to return to former do~mieik. and I intend to r+emaia is
U C 1 E Coaat,.
_ tQt~I
f 1:7orida. i-
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~ BwOrf toand sabea'ibed before me tbtf ~ ~ daF Ot -/~'='n p ~
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StOGER P017RAS. CLERK Of C IRGUI T GOI~tT ~
ST. LUG 1 E COUNTY, FLOR 1 W1 - • " ~ ~ . #
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