HomeMy WebLinkAbout0986 Deciaration.of Doniiciie and Citizenship ~ .
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TO Z~ CLERR OF THE CIItCUIT COURT.
ST. LUC i E CoUrl'1'Y. FLORIDA: ;
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- This is mt deelaratioo d DomirDe and Clti:eashlp is the State d T'7orida that I am fitiag this dad is acooa<daaoe. and in
• cooiasmitT witb Soetion x.17. F1o:ids Statutes. -
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1 was t
~r a legal sesideat of n - O ~ ~ I .
resided u ~ O l~2 . !S ~ c~c~ ~ I - ta~t.~
' Hawe~er. I bare changed m7 domiaiM to
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sad am sad bare bees a bona fide resident d the State o[><7orida sfaoe -_~~•r' Q~•-„~ t 2 dad of
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19 ~ ~ aaa I reside at ~ i h f~ R c z, ~ ~ 1~ d . C~ o~,
'P 2 ~ - S d5 c,,,,e ~ ~ .~3 ~,E~ ST. LUG 1 E~..aNe~
~a41 ~ Camty.)`7oeida.
and this statement is to be taken as nqP deeLratim d eit~eaship. actual legal seeidenoe aed domie3le is the State d 1`7arida. 4'~ !
" IF fOR T.HE PURPOSE 'OF ENROLLING - IF FOR HOMESTEAD PURPOSES,
CHILDREN tN SCHOOL, PLEASE STATE PLEASE .CHECK: ~ I
THEIR NAMES: - ~
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. S1. WCIE CGUkT Y. i LA.
ROGER POITFiAS
• _ CLERK CIRCUIT CCU 1 -
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I F[)RTHER C.ER1'lt'Y that I wID register st aoP kanl address when the :+sgistratioa boob reopen. sad eomp~ with aD
~ other regtm~emeata d a ygal :+es3dsnt d this State. - -
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I FURTAEIt C1~TII~'Y that I bare ao intention to retoza tom former do~mie0e, sad I is~eod to remain m
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persosaeniil~. - -
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~ COUNT
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swor>o to aed eab.oribed before m. this 1Q•~- dq d t ""o P
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ROGER P01 TRAS. CLERK OF CIRCUIT COtd2T
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ST. LUG 1 E COUNTY, . FLOR tOA ~ .
BY: , ~
EPUTY L.ERK
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