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2'lSis is ayr aedarstieo ai Daeieili and (dip to tie State d ~'forida tLat I am ffiE tl3s dq i~~aemrdanoe. ind is
. _ eoelCSad~ ~ Seetia~ 2Sit.1T. Plae3is StateR~ee.
- • I was a resiaeat ei !.U A-r2 tau L C, ~c... ~j1 oo(Q ~S 14 ~ Q ,md I
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t,e,~ ~ 3 !y O P.N o I r~•S G - 8vwe.er.ILsw cbaoj+rd tq~ aotoie~7e to
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.and am asd law been aboa?a Sde reaideat dtle State dt7orida since - S daj d
~-fD'i' ~mb lL•Y .19~,. and I reside,: ~ C u:p. L ~1-N l-'
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aDdthis statrmeat is to be tales as ~ deeLration d aetnal lesat resideDCa and domid~e is the State d Florida.
Ii iOR THE PURPOSE OF ENROLt.lN6 IF FOR HOMESTEAD PURPOSES
CHILDREN IN StNOOL~•PLEASE STATE PLEASE CNECK:
TNE1R NAMES: _
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l1FCt1RD VERIFIED •
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I FURTIIEB~'Y that I w8[ seRister ad toT loch add:esa wbea~ the teEistratios boars rsopea. good eomp~ wiW atl
dLet regomremmte.d a 1esa1 resident. d this State.
I FIJATI~ (~7FY thst I hrn m iaftatia~s to rotors to m1 ie~rmer do+miale, and I intend to remain is
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