HomeMy WebLinkAbout0762 Dec~arat~o~ o~ C~c~~c~cle ana L~~izens~ip -
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7i0 T~ Q~RK OFTBE C1RCtJ1T OOUAT.
S'~.. LUG 1 E OO~q~ gj,0~~; ,
~:;'l1~te is ap declarstio~ ai DamkDe and Qtisenabip is the State d Florida thst I am ~ thb dp is aaeo~dano~. and b
- contenai~j wifi Section Yl!3.17, P~oe~ida 8tatntes.
I was ~ a lanai resident d
/.yip , Hoses. I haw doankSa to
rr:ia.a at ~9 ~ ~ ~ tebansed ~
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_ and am and have been a bona Sde reddeot d the 8taLe d Florida since ~i d
1! ?9 _ and I reside at ~ 7 ~ ~ - ~ O ~S°.-_f.__ f ~
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ST. LUG I E .
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and this stateme~. is to be taken as »~7 declaration d dtisenship. sdnsl legal residenoa a~ domieife is the State d Florida.
If fOR,TNE PURPOSE Of ENROt.t.IN6 -If fOR NOMESTEAD PURPOSES,
CNILOR[~>~N SCNOOt.~~~PIEASE STATE PLEASE CNECKS
TNEIR~NANESS -
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I F[iAZ~R (~T1F'Y that I wd1 register at nq Ion1 address when the registration boos reopen. aad eempl7 with aD
other ragtdremeats d a legal resided d this State.
f I F[1A1~ C~Ei1'1T'Y that I bave ~oo intention to return to m7 former domiu7e. and I intend to remain in
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Savors to and sobe~'bed beioa+e me this '2 ~ dad d ~ -
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C K CLRCUIT COURT ~t
ST. LUG I E COl>riTll, ftOR 1 QA : ~ ~ ~`QU~ ~i~ • " -
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