HomeMy WebLinkAbout0230Deciaration of Domicile and Citi~enshi ~~
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TO THE CLERR OF THE CIItCU1T (70URT.
ST. LUG 1 E ppU~y~ ~,p~w;
Tl~is h m,~ deeLration ot DomjeDe aad Citise~~ ia tbe S4te o~ 1~7orida that I am 51ing this ds~ ia aooordanos. and is
eonforwit~ witD Section 222.17. Florida 8tatutet.
I was formerl~ a kgal n:ident of
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resided st ~
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at~d am and have been a bona Sde resident ottbe SLts odFbrida sinae
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Sowever. I Dave ~ do~31e to
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~ IBw~t ~ed Na~ 1
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and tliis statemeat is to be 4kea ae m~ declarat~on a[ dtiunibip. adual legal reddenoe and domieDe ia tLe 8tats at Florid~.
" i1 FOR THE PURPOSE OF ENROLLING
CHIIDREN IN SCNOOL~ Pl.EASE STATE
THEIR NAMESS
IF fOR NOMESTEAD PURPOSES~
PLEASE CNECK2 , / I ~
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f~«o aNr FECakn[ c
ST.LUCIECO{~AIY.i(A.
R~GER PpITR/1S
CLERK CIRCUtT C^Up~ _~
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I FURTHEA CEATIFY tbat I wiD reg~der at m~ loeal addres~ wl~ea tbe ngntration boo~k~ reopen, and eompl~ with a~
ot6er reqviremeats d a lesal reaident at tbis State.
I FIIRTHER CER1'g'Y tbat I have no iateation to nturn to m facmer domi~e. and I intend to remain in
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Florids. peraoaaend; .
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Swarn to and sobsenbed befors me t6i~ /~' da~ at .' ~~~
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R~CfR PQl,'~RA~ C~ERK OF C IRCUI T COt~2T
ST. LUG 1 E COUN7Y, FL~R 1 oA -
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_ . BY: ~~~~ .
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BePUTY ~~ERK
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