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HomeMy WebLinkAbout1356 Y..t...uecia~-~~~~r~r~ oY vor~~~cite ar~u ~i~~z~~~5~~ip - ~ 4'70043 '!00 TAE CI.ERB OF 1'~ G'IItCU1T OOURT. S~. LUG i E OOUNTY. FLORIDA: , . ~ ~ `~'Thb js m~ declaration at Damia'le and Qdiaeaship is the 8tste d Florida that I am id'inE ti~is dp io aooordaooe. and k ooniormitT with Seetioa 2?Z.1T. ~7orida Statntas. - I was i~ a k`al resident d - cad I ICigl , tBtaW resided at '~'t-Q''~ - Aowever. I ha~re ebaaaed mT domia~s to 18tr..t cad rtasb.si - and am end have been a bona Sde resident dthe State d1E7orida since 2 ~7 d a ~~-a-f-t GLfr~ .19 3 0 • and I rtside at 18a..t a.dN®D.rl - ~.,~.,Q,, cx ~ ST. LUG I E Count7.1<7orida. tav~ and this s4teme~ is to be taken as mT declaration of dtiseaship. actual legal residence and domia7e in the State at Florida. IF FOR THE PURPOSE OF ENROL. L.~NG IF FOR HOMESTEAD PURPOSES CH 1 LDREN 1 N ~ SCNOOt.r • PLEASE STATE PLEASE CHECK: THEIR NAMES: ~ S~`lUC E ~ ' ~ FLA. P.~;F~ .:S - RECOF' i c: ~ ~ " r ~ ' 4'70043 I F[JRTAER CIILTff'Y that I wtil register at m7 local address when the registration books reopen. and campy with all other requirements of a kcal reaide~ of this State. I FURT~IL CER1'lt'7C that I have no intention to return to m7 former domic~e. and I intend to remain in _ T. U C t E Count. - t(;a~) ` - : Florida.. permaaentl; . - , t .s COUNTy ''oQ~ Sbi O S T O IIJ Cam" !J ~C. - ~7L ~ ~~e ~ ~ , fl 5 d Sworn to and snbsar'bed before me this dq of : ROGER POITRIIS. CLERK OF G IRCUI T COURT s - ~ • - ~ - ST. ll1G 1 E COUNTY, f LOR 1 OA _ _ gp~~~ EPUTY LERK -