HomeMy WebLinkAbout0789 Declaration o~~`•dornici~e an+~~ ~~i~iens~ii -M=~
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1~0 Tll~ t~.ERR OF THE CIRCUIT OOURT.
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S~. LUC 1 E _______OOUNIY. FIARID~:
~;,'i73t b sq deelsratioa ai Doasiciie sad ~ la the Stab et 1:7oeida that i am ~ t6is d~ is seoordaaoe, sad is
- _ aoafermiq ~ Seetioa 273.17.1i~faeida Statates.
I ws a b3gal »aideat at - "T~C~
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resided at ~Sq_ hl t ~~d~aJ ~ Sowe~?er. I haw eDaoEed m7 doaoidl~ too
t8tr~e~AaadNu~Ds~
_ sad am and love been: bona fide reaidea~t et the State d Fbrida since ~ R~ ds7 d
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1l~~,, and I reside at ~'sZ. c,~•~, l .~c+ ~ z
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and this sbtemeat b to be takes as ~ deelaratioa d dti~ensbip, actual kgat sesidenos sad dome i'a the State d Fbrlda.
IF fOR THE PURPOSE OF ENROLLING IF fOR HOMESTEAD PURPOSESa-
CHIIOREN IN SCHOOLa-PLEASE STATE PLEASE CHECKS
THElR NAMESS
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I F(1RT~ (~T>T'Y that I ~ segister at m7 Ioeal address when tbt registration boobs ieopea. and ~mPl7 with an
other regoiremrats d a legal reaideot d tbn State.
I FVRTl~R CERTIFY tbst I bare no iatestioa to setnra to la~rmer damie~e- and I intend to r+emairs is
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Florida. permaaes~;.
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S..osstosad snbon'b.d betors me this ~ daT d • Q a~
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ROt~ER POI TRAS. CLERK OF C 1 RGU 1 T COU2T ; ~J ; ••;~uf ~ t
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