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~'T63~ is aqT d.dsratios d Damieite sad is tba Slats d Florida tba:I sm ~ this dsY is'aeoordaaot. sad i+~
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1~~ andI ieaide at
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' sad Ibis statement is to bs taken a aq dedaratioa d dtsf+ea
asbup, actual legal resideaos sad demid~e k the Stale d 1`7o~rida.
ii FOR THE PURPOSE Oi ENROLLING Ii FOR HOMESTEAD PURPOSES
CHILDREN IN SCMOOLt-PLEIISE STATE PLEASE CHECKS
T IR AMESS
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CE~R that I wid se~d+er at n~ loe:l addsess when the registratioa boobs ieopea. sari oomplp with aD
other regainmeats d a lesal resident d this State.
I FtJRTl~ (~Tff'Y that I have m intention to retnrs? to mF former do®io'fe. ~ I intend to remain k
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ST. LUGIE COlAd1Y, - _ -
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