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Declaration of Dort~icite end Citizenshi ~
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- _ ~ 4'74345 - .
TO THE CLEItR OF THE CIRCUIT COURT.
ST. LUG I E- oovrrr~. I~IaRID~: - ~ - - -
Tle~ is nU dedaratian of Domicile dad t.kueenslip la tle Stets ct Flodda that I am 8tins twa ay in aooo:aance. aAd in
oonfamit,T with Seetiac:288.IT. Florida $tatutee. _ f~ -
I was i~r a legal reaideM at w / ~ . ~ and I
gal (ee.W _
resided st „Za a f I~h KER DIP , xoww.r. I haw clanged mT docoidle to
end am and have boea abode fide residisat attlee Stets cfFlorida siooe - ~QV dy et .
/~/6 y. - . lg.,Zg._. and I reside at ~~3 d4Y Yf / - 1J F .
- ST. LUG 1 E
dad this atatemeat is to be taken as mT declaration at eitu~enslip. aetnal kga! residaaos and dome in the State d Florida.
IF FOR THE PURPOSE Oi EHRO4LING - Ii FOR HOMESTEAD PURPOSES
t:HIt.DREN IN SCNOOIi PLEASE STATE PLEASE CHECK:
THEIR NAMES: - -
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- 19P,0 JAN 30 AID i~ 32 -
_ FILED A PECO~gpEO
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~~GE~PO~ITRAF~~ - -
_ LINT t~URT
- ~ECORe VERIFIED -
- - 4'74345 -
I FvRTIIER CERTIFY that I ~ register at aqT local address wbea the regirtratioa books reopen, dad eompb witl aD
otter r~er,ta d a legal resident o[ tLis State. ~ -
I FLTRTIiER CERTIFY that I lave no iateation-to return to -former domin'k. aced Iintend -to remain m
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ROC~ER FO1 TRAS. CLERK Of C IRCUi T COt1RT - - i
8T. LUGIE CQUNTY, FLORIDA - - - -
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EPUTY LERK - '
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- AF;O Form 7t-~~