HomeMy WebLinkAbout1377 l~eclara~ion of Domicile arc# ~i?~~.~~~~s~ti~--~~-~
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LUG 1 E t70UNTY. FLORIDA: .
~:;'lLis is ~ declaration eiDomio'te and tbip iD the Stab d Florida that I am S1iaS this dq in aooosdaaa. and ie
. aonttoemif,T witti Section 42t.1T. Florida Statutes.
' I was to er a legal iesideat of ~ Q r'!
~ cad I
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resided st p w~ / ~~1 N7~"' - However. Y have obaaged a~ domicile to
t&...~t.aaH..e.rl
and am cad have bees a boas Sde sesident d the State d Florida since ~ daT d
~~(1~ -i9 .andirsodeat _~D,~ 7 ~S_ E_ /1/ecJ f0r~ ~'f
' P rf Sf - L- l! G !•L° 18er.sc+~ N.sD.ef
ST. LUG 1 E ~onnb, ~;da,
and this statemea~t Is b be taken as aq declaration d dtisenship. adwl legal :aideaae and domicOe is the State d Florida.
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If POR THE PURPOSE Of
ENROLLING I,F FOR HOMESTEAD PURPOSESs
CHILDREN IN SCHOOLs-PLEASE STATE PLEASE CHECKS
THE,I~R NAMESS
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CLERK CIRCUR
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I FIJATIIER CEATIF'Y that I wiD ngister''s~ mT local address when the registration books reopen. and eamplT witb all
other requirements d a legal resident d this State.
I FtJRT~ ~R that I Lave no intention to return to mT farmer domin'k. and I intend to remain in
T. U C I E _ Coantj.
ar'~ u u ~e tc~.~l
1:'lorida. peraoaaenti;.
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~ S~wsrstoaad sabee:r'bed before aoe this 'O~ ~ daj d ~ ~ - ~~1~ L3
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CIRCUIT COURT ~ ~7''~ ~ -
ST LUG 1 E COt?NTY Ft~t )QA _ ,r '
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