HomeMy WebLinkAbout0613 • Dec~arat~on o~ t~omicite and L<~~ens~i~~
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S'~. LUG 1 E o0UN1'Y. FtAxIDA:
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~`;''11ib b sqr deeLratioe d Domie3le and gtiuasbip is the Stag d Florida that I am ~t this dp is aooo~+danae. aad is
contaemit, w~ Seetios 421.17. Florida Statntea. _ . _ _ - _
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I was i er s fetal sesideat a[ ~ I
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resided at a[a ~a m~~t l P/a c~ _ a~.~.I>~?.aa~.a~ aomi~t~
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aad am and bare been a boas Sde raddent d the State d Florida since W rN ~ ~ • ~ n r' t~--- dp a[
i ' ?,1/ .19~ and I reside at Lob 5fc r ~OQ~ ~0 g
. tt~.d asa Noabwl
.rte 5f~: t,,cC l _ ST. LUG 1 E Coaat7, F7arida. .
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' aad this statemeat is to be taken a: ~ decLratioa d dtisenship. aet;ual legal residence a~ domie~e b ibs SW,e d Florida.
IF FOR THE PURPOSE Oi ENROLLING IF FOR HOMESTEAD PURPOSES
CHILDREN IN SCHOOt_e~PLEASE STATE PLEASE CHEtK:
THEIR NAMES:
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~_t
- - ~9T9 AUG 24 PN IZ~ 4fi - .
"'~r w.
- - - - _ - _ _ - _ WT - - -
_ V~r ~M COINiT-.-
I FLJR1'~i t~RTg'Y that I w~71 register at mT lonl address when the registration books reopen. and comp]T with aD
other requirements d a legal resident d this State.
I-FIJATIiEB CE'~tTIE'Y that I ha~?e no intention to return to former domica~e. and I blend to remain fm
c ~ T. u t 1 E CouatT.
Ei ~riaa.
rn~~k S~of~ ~-~4-Ne
D g L,o ~S1~e~ I~oa~ i~ rf'
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s..er. to area sab.a~b.a before me tbb Z `f daj d ~/7';/u l L-1.t c ~~e ~(1 ~o _ 3
ROGER FQITRAS. CLERK Of C IRGUI T ~.OURT ,,~w'"""'i' ~ - : , .
ST. LUG 1 E COUNTY, 1:>_OR 1 OiA '`o`~
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