HomeMy WebLinkAbout0618 ~~__~~..-Declare . ~ -
tEan o~Damicile and Gi~?~~~-~s~ii~_~___~._-_
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'!off 1'HE CLERK OF T8E CDtCtJ1T OOUItT. _
S~. lUG 1 E 00~~ Flpg~A; ,
~ `;'This is ap deeLratios d Do®idie and t~tiaem~hlp is the State of >!7orida that I am ~t thie dq is aooordaooe. and b
. ~oslormiy whit Seetios 28Z.1T, Florida 8tatntea. _ _
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I was ~ a kEal resideat et ~ esodLida, 1 ~ aad I
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,wed ~ ~ ti so ! IQ-f ~
~ a _ Ho..eer. I bane cbanE.d ~ domieDe to
ISn~tasd NasDsrl
_ -and am and bane bees a bona fide resident asthe State adlF7orida since ~ ~
and I rests at
i a.dl~lrsti.e)
• ST. LUG 1 E ~q,, Flaa~da.
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and this statement is to be taken as ap declaration of citisenship. aettul legal residence and domiole in tba State o[ I~7o:ida.
IF FOR THE PURPOSE Oi ENROLLING IF FOR HOMESTEAD PURPOSES,
CHI~OREN IN SCHOOt.,~PIEASE STATE PLEASE CHECKS
THEIR NAHESS -
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RFCORp VERtF1E0
I FtJHT~R ~•Y that I wSl register at mT lonl sddreas when the registration books reopen, and complT with all
other regniremeats d a legal reaideat at this State.
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I F1JRT~B 4ER1'1T'Y that I bane no intenti~ to return to m7 former domin'le. and I intend to remain is
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Swaes to and aabea>"bed befo~+e me this ~ daT of
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CIRCUIT COI~tT
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ST. L 1 E COUNTY, FLOR 1QA -
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• EPUTY L.ERK ~ x (1K~1V QaGE
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