HomeMy WebLinkAbout2425 Declaration of Domicile and Citizenship ~
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ST. LIIG I E apU~y, M,,p~
This is t~q dsei~ratioa d notmien..ea tmlawseip ~ flat 8taa of I7odda teat I w mint ter dq is aoooe~d4na. and in
cosieemit, write 8.etio. il~a7, Dodds matte.
I Nss f s lstal raideat of fC~' ' and 1
~7- B - .ST' lavl i~
,beiaea d ~ - 8owrar. I ears atn? aoat~ls to
cs~..c.dr~.rMl •
-~a°--Tna / ~-y
and atat and caw basR a boas lido r«IdeeR et tea &at~ ot>!lodds eina ~ 8 daF at
.19 aodl>ns~at ~ ~~if~Q~,,/; .Ci9.V~~'
ST. LUGIE
,~o,eT ~'l_. ~uc~~ ~ hleda~,
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aod Ibis statement L to bs takta ae dselatatioa d dtiasoseip, aetnal ~ raai3snos nrd doatieD~ in tea Ststa d Florida.
If iOR THE It)R'03E Oi ENROtIINa Irk OR HONE8TEA0 PURPOS ,
CHILDREN !N aCNOOIi P~EA>3E sTATE PtE~at CHECK!
THEIR NANESi
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FF E~1(~At ppA~EC~ORp
s~~latRCl~OITAii A'
a~ai crttcwt r
~'ERiFtEO
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I FtJIiT~ CERTII~Y tbd I wID mar st noq? local add:aas w?bea t>,e tt~rtratioa books reopea. and ~ write sH
other regnhements d a lssal rasidsnt d t>,ie State.
I F'UATHEB CERTIFY tbat I ea~re ao intention to ratora to former domia'le. and I iat~sad to remain itn
(CI4) .
Florida. permanenti,,•.
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sworn io and snb.cribea before m! teie dp d
1~'C-'_ C3_ _ e.n
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ROGER POl TRAS. CLERK OF CIRCUIT COt~2T
ST. LUC 1 E CQUNTY, fLOR 1 UI?
BY:
EPUTY t.ERK
.