HomeMy WebLinkAbout0240 Deciaration.of Domicile and Cifi~en-ship
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TO THE CLERK OF THE CIIiCUIT COURT. -
ST. LUG I E
OOUNT'Y. Fi.ORIDA: i
Tiib b ~ dee]tratioe d Demio'ie sad Cit+asasbip b the State et Florida that I am mina this dad b aoooedsnes. and io
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I was iii a b=al resident d _ W c~. r r e° n • ~ ~ (e) Yl i D ana I
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rssidsd at ~ ~ ~ ~ R
P~~ . ~ • _ How~erer. I hsw ebansed mP domie~e to
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sad am sad haw been a bolos Sde residsot e[the State d F'iorida aiaoe dsa d
OCR n b e r 1 (e .1~_$~., a~ I reside at (n 7 D ~ Gi` I ~ .
~t. PiPr~L' ST. LUGIE ~dN~~
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and this stateme>at b to be taken as m~ deeLration d dti>oaasbip. aotaul kaal rsaideaoe sad domieDe i>s the State d Fiocida.
" If FOR-THE PURPOSE'OF ENROLLING If-fOR HOMESTEAD PURPOSES,
CHILDREN IN SCHOOL, Pt,EASE STATE PLEAaE CNECKS
T-H~E''I R NAMES t `
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IJ~L i C~ T(lyytp ~ u ~r~c, n~~--{~_ 0 ACT ~ 17
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RGGER POIiRAS
_ CCERK CIRCUIT CRCRj~ '
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'I I F'URT'HER CEItT~'Y that I wiii r at aq ioeal address when the reabtratioa boots reopen. sad ewnpi~ with aII
fiber d a ksal ~deat d this State.
I l:TJR1'~A CERTII~R that I haw ao bteatiom to retina to former domide. sad I intend to reamia is
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Florida, permae~eaii,, • -
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_I~O~ER POI?RAS. CLERK OF' G IRCUI T COrd2T + • '
ST. LUG 1 E COUNTY, fLOR 1 OA
BY: ~
~ E?UTY ERK '
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