HomeMy WebLinkAbout0209Declaration of Domicile and Citiienship ~~
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TO THE CI.ERR OF THE CIRCUIT OOUAT,
ST. LUC 1 E apv~y. ~,p~~;
Thls b n~ deelaration at Domieile and Citiseaship ia tDe State o` Fla~ida tlut I am ~ thjs da~ ia aa~o~danos. and ia
canio~mit~ wftb Section 2?'1.17. Fbrida Statutes.
1 waa former~ a kgal nsideot oi ~~~ S~r _(~ L' v ~~ Y' aad I
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~a~a.~. 5~~ 9 Ho~-e~er. I e.w eb.ngea m~ aomidle to
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aad am and 6sve beeu a bons Sde nside~ of tbe State o[ ainoe '' da~ d
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aad this statem~nt is to be taken as aa~ deelaration ct eiti:enship. aetuallegal residenoe and domieik is tbe Stste ai I~7ocids.
, " IP FOR THE PURPOSE OF ENROLLING
CMIIOREN IN SCHOOL~ PLEASE STATE
THEIR NAMES:
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If iOR MOMESTEAD PURPOSES~
PLEASE CHECK: ~
~98~ DEC ~ s P!t 2~ 22
F~~Ee ~,;c h: CONbED
SLlUC1E COIMlTY.RA.
C ERK Clf CUt i OUR ~
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I FURT~Ii CERTffY tbst I w~l register at m~ bal addtes~ wbea tbe registntion booics reopea. and eampl~ wit6 a11
otber requirements a[ a legal reside~. aE t1~is State.
I I~'UR1'HER CERIZF'Y that I 6ane no intention to r~tnra to farmer domieDe. aad I iat,end to remaia in
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F7o:ida. permanend; .
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8worn to aad snbien'bed befae+s me this ~~ da~ d
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ROC~ER PQJ,JRAS, CL.,ERK QF GIRGUI T COC~tT
ST. UGIE GOUNTY, fLOR10A -
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