HomeMy WebLinkAbout0303 Declaration of Domicile and Citizenship
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TO TILE CLERK 8F THE CIRCUI'T` CuUR'I. .
ST. LUG 1 E apv~•y, ~,p~A;
This is m7 declaration of Domic~7e and Citisenship is the State of Fbrida that I am fling this daT in accordance. and in
oonioranitT with Sectioa 2?Z.17. Florida Stag.
I was formed= a legal resident d ~ ':~y~~ ,fib and I
resided at ~
18v.a Aowever. I have changed m~ domia7e to
and am aad have been a bona bde resident of the State a[ 1:7orida since daT of
15~.. and I reside at ~ ~ ~ - -
18w~t asd Nsesb~tl
" ~ - i ST. LUG I E
141
and this statement is to be taken as nq declaratios, of eitiaensbip. actual legal residence and domidle is the State et ~7ocida.
iF FOR THE PURPOSE OP ENROLLING IF FOR HOMESTEAD PURPOSES
CHILDREN IN SCHOOL, PLEASE STATE PLEASE CHECKS
THEIR NAMESS
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CLE~i~. ~i?..wt l.~uR~ .
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I FUATI~R CERTII~R that I wSl register at m7 kKa1 address when the registration books reopen. and eompl,~ with aD
other regairements ad a legal resident of this Sate.
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I F[JRTHEK CERTIFY that I have no intention to retina to m1 former domin7e. and I intend to remain in
ucrE
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Florida, permanenti; . ~
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~ - Swoen to and subscribed before me this J dq o[ ~ /~~f ~
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ROGER POITRIIS. CLERK OF CIRCUi T COtdFtT
ST. 1 E COUNTY, FLOR t OA ` ~ -,11: \ ~U_ ~ L ~ ~ } ,
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800K 342 PAGE JV•7 ~ a
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