HomeMy WebLinkAbout0758 DecTara~on o~~~i~om~cile ar~c~ ~~~izens~i~p - ,
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a~ b m~ d.darstioa et Domie3le and (~Sens6ip is the state aI Florida that I am lflins this dp is aooordaaos. and L
. _ ooafor~ wifi Sadba 2ffi.1T, Florida Statutes. ~ ~ ~ ~ ~
I was fa
m~e a 1e`al resident e[ ~~d d / r E ~ - ~ ~ C. 0 ~ 5 l
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resia.a at 7"o s1 A!'+A F y e'Y~ G-1~'2 e, n1 R'T Z - Rowers:. I have eiaaged aq domidie to
Ise...?..a Hae.r~ -
_ and am a~)iare been a bona fide resident of the state d Florida since / ~ daf d
`Gr 1l~~ crud I reside at / d !~,~'11
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,~°t e r~ ~ _ ST. LUG I E Couat,~, Florid,,, .
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' and this stateme~ b to be taken as ~ dee]sration d dtisensbip. actual legal residence and domide is the Stats d Florida.
Ii FOR THE PURPOSE Oi ENROLLING Ii fOR HOMESTEAD PURPOSES
CNIIOREN IN SCHOOLr•PIEASE STATE PLEASE CHECKt
THEIR NAMES:
ti
I FURT~ (~itT1F-Y that I w~71 register at mf lonl address when the registration books reopen. and oomph with aD
other regairemeats d a legal reside d this State.
~ I FUItTAEB (~Tlp'Y that I bs~ no intention to return to mf former domieRe. and I mend to remain is
_ _ T UCIE
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Florida. p~~i
~l9 AUG 27 AN I~ 31
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~ Swors to and subscribed before me this 7 aaj d _ ~ ~/1~,D/9 ~ i/ ~ ~ ~0 "~`~`'c'~
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a ~ A.D.1l~ I / 1
R K OF CIRCUIT COURT ,
y bGOUlyry .
ST. LtJG 1 E GOl~1TY, FLOR t all _ - ~ c°G . - - .
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