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~ D~ciaration ~f Domicile and Citizenshi . ~
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TO TNE CLERK OF THE CIRCUIT COURT. .
St . Lucie CpUNTy~ FLpRIpA; .
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Tbb v m,p d~claratbn ot DomteD~ a~d Cittsenshtp jn tIH 8tata of Fioeida thst I aen lilinj thtr dq ia seoordana. and [n
ooalormltr ~vitl~ S~etion 222.17. Florlds SlatutM.
I was former a k~aal rsstdeoe ct Saltvi ~ tQ ~ Viz9inia iend I
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. resided at r_O_ Amc viS - NowRVSr. I Aave ebaa~ed my doenieiie to
(8tn.t ~ed Nomb~H
and am aAd have been a boaa Qds nsid~nt ot tM State oi Fbrtda stna eiaht~eet e ~ dq oi
Auquat ' ~.1~ 8~~d I restde at ~ S.E. Natio GiYCit
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rort St _~ei• 1~~Ci• Couct~. Ftortd~.
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and thi~:tatement b to be takeA as m~ deelarattoa of dttzenshtp. aetual Ie~al re~idene~ and dom~~ in tbe Stat~ ot Florida.
If far the purpose of enr~olling
children in public schpol, please ~
state their nanes: _
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I FtJRTHER CERTIFY that I ~?t11 register at mr local address whea t~e rea{str~tion books reopea. a.nd wmpl~ .vith a1l
; other requirements oi a kga] resident of t~is State.
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; 1 FURTHER CER.T'IFY that I have no Intsntion to ret~rn to my foraner domte0a. aed I iatcad to cemain in
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u0C~2 POYTRAS . CIF~tK CZRCCTIT OO~JJRT N~ne - print ~
~ S"T. I~.JCIE CafJATI'Y, FIARIDA . ~
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