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Declara~ion~~of~Domi•cife;anc~~Cifi~ensfip--~
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700 77~ Q.ERK OF77iE CIRCUIT OOUAT.
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S~~ L UG i E oovNTY. FLORIDA: .
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;'This b m~ deeL~ration d Doavieiss and Cttissasbip in the State o! i!7odda that I am this dp b aooordaoee~ and b
ooatormil,~ writs Sedioa >~E.1T. Florida Statutes.
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• I wrasl~ a bEal resident of L~~'~ ~5.2~? L aadl
- tCl~l 18twi
resided a Sowever. I have changed m~ dominls to
1sa..~,..aH.oe.s1 1~
and am and love been a bona bde resident of the State c! Florida since ~L dq d =
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19~. and I ra=ids a
- IaerMt asd 1~tosDrel
ST.' lUG I E ~,;da,
and this aateme~ is to be taken as mT decbratioa o[ otisenship. actual legal residence and domieSe b tbs State a[ Florida.
IF FOR THE PURPOSE Of ENROLLING IF fOR HOMESTEAD PURPOSES,
CHILDREN IN SCHOOL. • PLEASE STATE PLEASE CHECK:
TH 1R NAMESt
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I FURTAF.R (~RTII~'Y that I wrll register at mF local address when the registration books reopen. and eoanplF writb all
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other regmremeats d_a legal rssis{eat ~ this &ta~, _ _ _ _ _
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I F'LJRTI~R t~R1'>TR tbst I have no intention to return to former domietle. and I intend to remain in
T. U C I E _ Conj.
~ac~l ~~2
Florida. permaaeatl~
+~ZS a~i~ 28 AM ~ 35
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- ~wl1TY CMG al:col0o vEallil~n
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Swroes toand snbea~ed bdore me this dad e!
~ A.D.19::~- - - _
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R t K CIRCUIT COURT
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ST. IUGIE COUNTY, FL 1QA -
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