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HomeMy WebLinkAbout2117, Declaration of Domicile and Citizensf~ip ~ . ~ . s1s43~ T01'~ G7.ER1C OF THE CIRCt11T OOUR?. ST. LllG 1 E apUxrY. gi,px~A; ~is h nq dedaratioa a[ Domio'ie asi G~ium6ip is t6e Stat~t ai Florida that I am flin~ this da,~ ia aooor~aaoe. and is conto~mitj wit~ Sectioa 22Z.1~, ~7or~da Stiatut~s. ~ ~ I was lormerl4 a kgal raideot d~-- O u.~.. ::\\~r _ `~r~.~~ v c~_ ~ I `' IC141 ~ ISeaW JLSRN i~ ~ • * , r~ ~ C ~ ~~ ~-~~ ~ G ~ ~OwQYQt~ I have ebangcd ~ domieile to ~~ ~ ~~~ ' aad am aad bsve beea a bona 6de resideat dtDe State oiFla~ida ainoe ~:~c S~ da~ d ~ ~~ ~- .19.~3~. aad I reside at 3 g~ ~ c--\ .~. IStrMt aed Nnmb~e`1 ~~ P~~-~ ~ _ ST: LUGIE ~~.~~,~ ta~ and tLis s4eemeat is to be takea as ap deelaratios d dtiunsLip. adud legal resideaoe and domidle in tLs 8tate d Flarida. " IF FOR THE rURPOSE Oi ENROCLINC CMILDREN IN SCMOOL~ r~~ASE STATE TMEtR NAMES: r- ~r Ii FOR HOMESTEAD-PURPOSES~ - ~LEASE CHECK: ~ -~ i ~ ~ . ! ~+~'~' 1 ~ (~ ~ " ! `~ 73 -} V ( ~ ~ ~.~lG ~C~ ~~~ ~C c_ G! \ ~ ~ c~G ~ ~ ~ ~ ' \ ct\ \ C~.\J~a ? ~ I ~ ~ 7 ~ -- ~ ~ ~ ~~/~~ cl.~~' ~d O~C ~ S~U ~~~5 : ~~~ <- \ ct~~ , ~ \ ~ . i~7s- i9 ~~ 3 tS ? ~ .~ ~-\ ~ ~ ~~ ~:~ ~-~,F \~~ - I FURI~F.R t~Et1~F'Y tbit I wi~ x~i~a at q~ bnl addns~ wbea tbe registration boots reopeu, aad aompb w~1~tb aD otber reqmr~ats d i lesal reaideat d tLis State. I~JATHER CER1'II~R tbst I 6ne so iateatioa to retma to former domfdle. and I intead to nmain ia : ~j ~~ V _ ~' ~ ` - . . 19~ J;~t 30 t'!: ~ Z! ' •..a~ :~r::~ .;;; ~; .. '~:. . ~,. - . ~~ . +~ i J~ ~ ~ ~ ` t~ _ ' ~; 1 `\ ` •• ~ • .\`_: 5154;34 i i .~ ~ , ~ ' ~~~/~~~ ` ' . ` • , . / ' ~ • `1~~~~ I ~, ~ ~ ` ~~~`'` ~ \ t/~`~ \ \ ~ / 3 V / ~~` \ ~ ' p uea~...~ S.a~ to asd sob~3ed betore me tbb ~~ ~ d,~ d ~~ \~ e-c c-~ ~~ ~, 3 3~r -~ O ~ ~""~- .-D-- / 98/ ~ R~R PQI]RA$1 C~ERK OF C IRCUI T COt~2T . ~ , ~ ST. ItJG I E GOlMITY, f LOR 1 W1 • ~ - . BY: _~/l.c-,,~.~ ~, , • ~ - ~%~ - ~ _ aEruTtr L~ERK ~ a~K347 P~~E2111 ~ - :~_. _ ._ _ - "~~~~ ~ ~~~cc e1~ ,~~~~cprc~o SL LVC1~ C • 1~,i~1. RaGER P(}I :1~/~ ;~:E~x c~-cv:t ec~c,~; . ~r- .: ~:_ - .,. ; , ,~ , , . .,J " . . . , ~ +. , . .;~ _ ,.~~ _..~ ~ - ~~~~~