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- ~:~'l7ddr b ~ decb~ratto. at Dasrleit. and ~ is tle stay d I~'focida that I as ~ t>aa aq iraooondapot. and 1•
. _ will Beefier, l~.1T. Florida Statatea ~ _ M
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:.sided d q~Ot7 ~E!C~ ~1Y~GGt ` - 8o~.em.I1a.. elaat.8 aq~ do~klla to
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.aadam and l~ae berr+aboas fiderssadeatdtle State dF7orid: s3aoe - °I _
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' and this statement is to ba talcea as mP declaration a[ dtissrabip. actual leEa1 residenos and dom3cl;e is the State d ><7orida.
IF iOR THE PURPOSE Of ENROLLING IF-FOR HOMESTEAD PURPOBES~
CHILDREN IN SCNOOL~ • PLEASE STATE PLEASE CHECK: ~~r~
THE 1 R NAMES S _
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. 199 SGP 19 . PH 2~ 34
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I FURTSER (~TII'Y that I w~ st mT !Deal ~dreas when the registration boobs reopen. and oomph wltb aU
other regmremmta of a kcal rssideat d this State. .
I FOST~ CF~t1'1FY tbst I base m intention to retmra to a~ iar~mer do:aie~e. and I intend to r~emaia in
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Florida. phi
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8waests asd seberibedbeiors ms this dsT a[- ( ~~r~
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