HomeMy WebLinkAbout0556 ,
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ration~o~omicte anc~ ~"~i~zens~-
456204
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S#,. LUG 1 E oovrrr~r, Ft~ol~:
~;„'llds is mP deelardioo d Domicile and Atiaeaship is the Stag d I~7orida tbd I am ~ thb~ io aeoocdanoe. and is
. _ ooa witL Se~tios 22E.1T. Floeida Statntas. _
aadl
Iwasi me akral
resided d Gi Aoweves. I Law c~anrad aq domidls too
_ aad sm and haw been a bona Sde resideaL dthe State dFlorida ainoe °2 daj d
` It - L' and I reside at ~ 0 ~ s~S~Digre L L A 5"~"
l~T Gt.~/ _ ST . LUG 1 Eisa..t..d ».~d l7osida.
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• aad tls3s datemeat is to be ta><ea w ap declaration d eitisenship. actual leEal residence and domicile is the State d Flaeida.
IF FOR THE PURPOSE OF ENROLLING IF iOR HOMESTEAD PURPOSES,.
CHILDREN IN~ SCHOOL, -PLEASE STATE ..t PLEASE CHECK:
THEIR NAMESt
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456204
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RECeRO vlxa
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I FIJRTfI~ (~T1F'Y that I w~ at ml local addrsss when the registration boobs reopen. and ~mPl7 with aD
otl~et regoQem~eate d a ~ resident d this State.
I FtJATHEA I is to return to former domie~'k. and I intend to_ remais in
u c ~ E . Couatj.
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Swo.stoaad sabea~'bed before me this ~ y d:j d '~•f`
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K 01` C RCUI T COURT
ST. LUGI E COUNTY, FLOR 1UA - •
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BY: ~ -
• EPIlTY RK UR315 Ply 554•. _ ~
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