HomeMy WebLinkAbout1740 - - "u. - - - . -
JDeclara~ian~ of- ~omiciCe Ci~t~~enship
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S~. LUC i E ~ptlN1'Y. FLORIDA: .
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s'llis i ap d.eLratioe d Domidis and t~sasbip is the 8tst. d Flodds flat I am this dq in aooof+daaa, ind b
" _ eodorsiq with S.etio~ le2t.1T. Flasida S4tut.s. `
V' i was ~r alsEairsidsetd c N rn h n1 y ~ Q-~ 1 N ~ aodi
tQyl tet~1
raaid.a,t R~ ~ `~,Lq_~' m ?e h ,I~ 1 ~en1 .8o...ver.I hav. ehani.d np dom. to
tsn..carN.se.rl
and,m ana lave b..a a bona iide sesideat d the State d t7mida ainoe a ~ daT d
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_ sna I resid. at q °i ~i-
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IF ~i P~ ~ Q c F C.. ~ _ ST. LUG I E ~ti, ~;d,,
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and this statement is to be takes as m~ deeLration of dti:enship, aetnal legal resldenoe and domi~e in the State of Florida.
If FOR THE PURPOSE Of ENROLLING IF FOR HOMESTEAD PURPOSES
t:HILOREN IN SCHOOLe~PIEASE STATE PLEASE CHECK:
THEIR NAMESS
N;~~t~. ArvO2t~ t~~m~L.l.p~
P
I F[)ATI~R G~BTII~'Y that I w~ at mT loeil address when the :egistratioa booms reopen. and eomplp with all
other requirements d a 4gd resident d this StatR.
i
~ I F[JAT~ (~tTII~'If that I have no intention to return to a~ iora?er domieDe, and I intend to remain in
C E Camtj.
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Florid'' °erma°e°`I'• ~T9 A~16 30 PM it 28
ANp
RECORDED
cvul~TTY.FIA.
. P0ITRAS
- ~t'.[RCIpT
i~~0 VERIFIED
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;r_ tnda~...l
Sw+rrs a asd sh.eribed before me this ~ daT d ~ • ~ E 2 C 6 ~ 3 3~ S
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ROCQt "P+01'iRAS ~L~tK .OF G iRCUi T COI~tT , "
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ST. 11161 E GOIA~iTY, FLOR 1QA -
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BY: -
• EPUTY t.ERK ~ ~ ~ .
' BOOKJI~ P~E~.'~e
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