HomeMy WebLinkAbout0971 _
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aectaration__a ~-c~micila~ and_ _~itizenship _ _
456449 ~ ~
S~. LUG 1 E ~pUNTY~ gl,p~A; ,
~;;'Tbis is sp dee]sratioe d Domie3ls asd Csbip is tba State d Flofida that I am ~ thls dp is aeoo~dsaas. sad is
. _ eodermit, wlt6 Saetios t~.1T. Ffosida 8tstut~s.
' I was ~:l~al ra:idaat d LA A~/c
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~ - (,/9 OL ~it/A sad I
ICtt,~ tstaNi
:esidad at ~
~ ttw..e~..a H.r.r~ - flewe?es. I Lava ehaarsd mT domieDa to
.asdam sad Lava bean a bo~aLde sasidest d the State dFloaida since 7 ~J d
~TLi ti ~ -1l~ and I reside st ,x,;31
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~ea..ca.aHm~.el
1C.T ~E~s ~ _ ST. LUG I E .
trawl
and this statement is to be tai~en ss ~ deelaratieo d dti:eaship. adnal legal residence aad domicne is the State d Florida.
IF FOR THE PURPOSE OF ENROL~IHG IF FOR HOMESTEAD PURPOSES
CHILDREN IN SCHOOLa•P~EASE STATE PLEASE CHECK:
THEIR NAMES: '
- X19 AUK 2B AM ~ 32
f 0 AND,~w~pY~.
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- - ~ ~ ItlEAlf 1IERlf IED
456449
I F[JR1TiEB (~'!'1F'Y that I w~ at m7 local address when the registration boobs :eopea, and witD aR t
~ othas rests d a legal re:idea~t d this Slate. - - - - - - _ - - - - - - - - -
i
j 11:'I1A'1'l~ (~ER'1~'Y that I have m intention to return to m7 farmer domicile. and I intend to s~emaia is
U c t E Comstg.
F'b:ida, pesmaae~;
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t3..ee,~ to ~ sob.Q~.d beiane me this o aaT at ~~P/' F. ~c A . i
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K § C RCU I T COURT '
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ST. LUGIE COUNTY; ;TL~R~DJ1~~ = - .
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• EPUT JERK