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' - dearatioo a[ DemieDe and Qp in :le stet. d ~7oeida that I am ~wc tbds dp ~~seoordaaoe. and i.
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and tb3s riatemeaR is la be taten as ap deems d • actual ~ se~denoe d0i i° the State d Ffoeida.
- IF FOR HOMESTEAD PURPOSESa
IF FOR THE PURPOSE-OF ENROLLING PLEASE CHECKS
~H~LOREN IN SCHOOLa-PLEASE STATE
THEIR NAMESS
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I ' , . Tg'Y tbat I w~ ssEis?er ~ aU' local address w},m !be segistratiaa boos i'eopea. and osm~ wicth aD
~q~ala d a 3eEa1 resident ad this Stale.
I FOBT~ CFErPII~'Y tbd I base as fatsation to s+etmn to former cdominle. and I mend to
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