HomeMy WebLinkAbout2493 ~ ~
domicile and Cit~~ensh p
necta_ration of -
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TOTHE C[.~AK OF TAE ~ QOUAT.
ST: L1~1 E oot1N1'Y, FLORIDA: is ao• aad )n
- declaration of Domidle and t~tisens~P ~ the State d Fbrida that I.am Sting the ~
This is q1~ .
coedar~niq wKh Sastioa? 22E'1?. Ffoeids Statutes. - ~ - ~ I
meant ~ 'o'''w - - - - 181ate) "
' ~ I Mras it a ~ - (tR*T) gawee~. I ~ ~icile to
raided ~ - 18th and N~rla) /7 ~ - ~ d -
-and sm and have been s boon Sde resided d tl~e State d I+7oeida - ~ -
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• 1! - ~ snd I reside at (etiwt atllta~
- _ ST. LUG 1 E
residenep and do? is the State d Flamm
and this statemei?t is to bs tatea u mJ declaration d actual legal .
- - RPOSt OF ENROLL INa _ ~ 1 f?-f OR HOMESTEAD POR.POSESi
{ E FOR THE Pll p~EASE -STATE - - PLEASE. CHECK:
CIt 11.DREN tN SCHOOLS
THE 1 R -pAMESi ~ .
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_ - _ ~gp JIIN 3 t- PK t= 39
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aECOa o
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at aoT ]Deal addewa when the regdttstion boots seapen. ~ ~
I FuR'ri~R c>;itTa~r-that I..ia
other nit a 1~ r+esidend d thin State•
former domia7e. -and I intend to- remain m
I FURTHIE~ CEATIFlT the I Have no ioZeatian to return to E Ceo~7.
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Fbrida. Petms~°~r-' -
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~ ~ subscribed before me thin ~ -
A.D.1
A L K OF G 1 RCU 1 t Ot~T _ -
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- gT, LUC 1 E COUNTY, - f t.OR t t'k? - ~ - .
BY: ~ ; -
EPUTY t.ERK
~ _ ADO Fo-m 7l
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